国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2014年
15期
2245-2247
,共3页
新生儿%气管插管%浅层吸痰法
新生兒%氣管插管%淺層吸痰法
신생인%기관삽관%천층흡담법
Newborns%Endotracheal intubation%Shallow suctioning
目的 探讨浅层吸痰法在气管插管新生儿中的临床应用及其效果.方法 将106例重症监护的新生儿,按入院先后顺序编号,用序贯法偶数组为对照组,奇数组为观察组,每组各53例,对照组实施常规吸痰法,观察组实施浅层吸痰法,并比较两组的临床效果.结果 两组吸痰结束时心率、呼吸、平均动脉压及SPO2与吸痰前1 min相比差异有统计学意义(P＜0.05),观察组吸痰后3 min与吸痰前1 min相比差异有统计学意义(P＜0.05),而对照组吸痰后3 min与吸痰前1 min相比差异仍有统计学意义(P＜0.05),观察组并发症明显低于对照组(P＜0.05).结论 浅层吸痰法可减轻新生儿机体的应激反应,保持较稳定的血液动力学和循环功能,降低气道黏膜损伤、吸痰后烦躁、呕吐及气管插管脱出的发生率,提高了患者的生存质量.
目的 探討淺層吸痰法在氣管插管新生兒中的臨床應用及其效果.方法 將106例重癥鑑護的新生兒,按入院先後順序編號,用序貫法偶數組為對照組,奇數組為觀察組,每組各53例,對照組實施常規吸痰法,觀察組實施淺層吸痰法,併比較兩組的臨床效果.結果 兩組吸痰結束時心率、呼吸、平均動脈壓及SPO2與吸痰前1 min相比差異有統計學意義(P＜0.05),觀察組吸痰後3 min與吸痰前1 min相比差異有統計學意義(P＜0.05),而對照組吸痰後3 min與吸痰前1 min相比差異仍有統計學意義(P＜0.05),觀察組併髮癥明顯低于對照組(P＜0.05).結論 淺層吸痰法可減輕新生兒機體的應激反應,保持較穩定的血液動力學和循環功能,降低氣道黏膜損傷、吸痰後煩躁、嘔吐及氣管插管脫齣的髮生率,提高瞭患者的生存質量.
목적 탐토천층흡담법재기관삽관신생인중적림상응용급기효과.방법 장106례중증감호적신생인,안입원선후순서편호,용서관법우수조위대조조,기수조위관찰조,매조각53례,대조조실시상규흡담법,관찰조실시천층흡담법,병비교량조적림상효과.결과 량조흡담결속시심솔、호흡、평균동맥압급SPO2여흡담전1 min상비차이유통계학의의(P＜0.05),관찰조흡담후3 min여흡담전1 min상비차이유통계학의의(P＜0.05),이대조조흡담후3 min여흡담전1 min상비차이잉유통계학의의(P＜0.05),관찰조병발증명현저우대조조(P＜0.05).결론 천층흡담법가감경신생인궤체적응격반응,보지교은정적혈액동역학화순배공능,강저기도점막손상、흡담후번조、구토급기관삽관탈출적발생솔,제고료환자적생존질량.
Objective To explore clinical application effect of the shallow sputum suction method in the tracheal intubation newborns.Methods 106 cases of neonatal intensive care,according to admission order number,even number group as the control group with the sequential method,odd for the observation group,53 cases in each group,control group through routine method of sputum aspiration,observation group implemented shallow sputum suction method,and the clinical effects of two groups were compared.Results Two groups' sputum suction at the end of the heart rate,breathing,mean arterial pressure and SPO2 and sputum suction compared with those 1 min before the sputum suction,showing difference was statistically significant (P ＜ 0.05),in the observation group,3 min after sputum suction and sputum suction 1 min before that were compared and showed the was statistical significant difference (P ＜ 0.05),while the control group 3 min after sputum suction and sputum suction 1 min before you still had a statistical significant difference in complications (P ＜ 0.05),the observation group was obviously lower than that of control group (all P ＜ 0.05).Conclusion Shallow sputum suction method can reduce the body's stress response,maintain a relatively stable hemodynamics and function of circulation,reduce airway mucosa damage,be agitated,vomiting after sputum suction and the incidence of endotracheal intubation out,improve the quality of life of patients.
