中国当代医药
中國噹代醫藥
중국당대의약
PERSON
2014年
32期
55-57
,共3页
膨肺%震颤排痰法%重症加强护理病房%呼吸机
膨肺%震顫排痰法%重癥加彊護理病房%呼吸機
팽폐%진전배담법%중증가강호리병방%호흡궤
Lung inflation%Tremor sputum elimination method%Intensive care unit%Ventilator
目的：探讨膨肺联合震颤排痰法在ICU完全依赖呼吸机进行机械通气患者中的应用效果。方法以2011年3月~2014年3月本院ICU收治的完全依赖呼吸机进行机械通气的患者40例为研究对象,将其随机分为两组,对照组采用常规呼吸道护理方法,观察组在对照组基础上采用膨肺联合震颤排痰法治疗。结果两组治疗1周后的血气分析指标均较治疗前有所改善,观察组治疗1周后的PaO2、氧合指数分别为(75.4±5.4)、(459.8±65.8)mm Hg,对照组分别为(62.3±6.2)、(385.6±51.7)mm Hg,两组比较,差异有统计学意义(P<0.05)；两组治疗1周后的排痰量均较治疗前有所降低,观察组和对照组治疗1周后的排痰量分别为(10.4±2.4)、(22.3±3.8)ml,两组比较,差异有统计学意义(P<0.05)；观察组的肺部感染、肺不张发生率分别为5%、10%,与对照组(30%、40%)比较,差异有统计学意义(P<0.05)。结论膨肺联合震颤排痰法可以改善ICU完全依赖呼吸机进行机械通气患者的临床疗效,促进痰液排出,降低肺部感染、肺不张发生率,具有临床推广价值。
目的：探討膨肺聯閤震顫排痰法在ICU完全依賴呼吸機進行機械通氣患者中的應用效果。方法以2011年3月~2014年3月本院ICU收治的完全依賴呼吸機進行機械通氣的患者40例為研究對象,將其隨機分為兩組,對照組採用常規呼吸道護理方法,觀察組在對照組基礎上採用膨肺聯閤震顫排痰法治療。結果兩組治療1週後的血氣分析指標均較治療前有所改善,觀察組治療1週後的PaO2、氧閤指數分彆為(75.4±5.4)、(459.8±65.8)mm Hg,對照組分彆為(62.3±6.2)、(385.6±51.7)mm Hg,兩組比較,差異有統計學意義(P<0.05)；兩組治療1週後的排痰量均較治療前有所降低,觀察組和對照組治療1週後的排痰量分彆為(10.4±2.4)、(22.3±3.8)ml,兩組比較,差異有統計學意義(P<0.05)；觀察組的肺部感染、肺不張髮生率分彆為5%、10%,與對照組(30%、40%)比較,差異有統計學意義(P<0.05)。結論膨肺聯閤震顫排痰法可以改善ICU完全依賴呼吸機進行機械通氣患者的臨床療效,促進痰液排齣,降低肺部感染、肺不張髮生率,具有臨床推廣價值。
목적：탐토팽폐연합진전배담법재ICU완전의뢰호흡궤진행궤계통기환자중적응용효과。방법이2011년3월~2014년3월본원ICU수치적완전의뢰호흡궤진행궤계통기적환자40례위연구대상,장기수궤분위량조,대조조채용상규호흡도호리방법,관찰조재대조조기출상채용팽폐연합진전배담법치료。결과량조치료1주후적혈기분석지표균교치료전유소개선,관찰조치료1주후적PaO2、양합지수분별위(75.4±5.4)、(459.8±65.8)mm Hg,대조조분별위(62.3±6.2)、(385.6±51.7)mm Hg,량조비교,차이유통계학의의(P<0.05)；량조치료1주후적배담량균교치료전유소강저,관찰조화대조조치료1주후적배담량분별위(10.4±2.4)、(22.3±3.8)ml,량조비교,차이유통계학의의(P<0.05)；관찰조적폐부감염、폐불장발생솔분별위5%、10%,여대조조(30%、40%)비교,차이유통계학의의(P<0.05)。결론팽폐연합진전배담법가이개선ICU완전의뢰호흡궤진행궤계통기환자적림상료효,촉진담액배출,강저폐부감염、폐불장발생솔,구유림상추엄개치。
Objective To explore the application effect of lung inflation combined with tremor sputum elimination method in patients given mechanical ventilation totally depending on ventilator in ICU. Methods 40 patients given me-chanical ventilation totally depending on ventilator in ICU treated in our hospital from March 2011 to March 2014 were selected as the subjects,and patients were divided into the two groups.The control group was given the routine nursing method of respiratory tract,the observation group was given lung inflation combined with tremor sputum elimination method. Results The blood gas analysis index after 1 week in the two groups were improved compared with before treatment,PaO2 and oxygenation index in the observation group was (75.4±5.4),(459.8±65.8)mmHg respectively,while in the control group the two index was (62.3±6.2),(385.6±51.7)mm Hg,and there was a statistical difference in the two groups (P<0.05);the sputum volume of the two groups was decreased after 1 week treatment compared with before treatmrnt, sputum volume in observation group was (10.4±2.4)ml,and that in the control group was (22.3±3.8)ml and there was a sta-tistical difference in the two groups (P<0.05);the incidence rate of pulmonary infection and pulmonary atelectasis in the observation group was 5% and 10% respectively,while in control group the incidence rate of pulmonary infection and pulmonary atelectasis was 30%and 40%and there was a statistical difference (P<0.05). Conclusion Lung inflation com-bined with tremor sputum elimination method can improve the clinical curative effect of patients given mechanical ven-tilation totally depending on ventilator in ICU,and it can promote sputum discharge,decrease the incidence rate of pul-monary infection and pulmonary atelectasis.It has clinical promotion value.
