中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2013年
11期
1273-1275
,共3页
肺炎,呼吸机相关性%护理%微量泵%气道湿化%机械通气%细辛脑注射液
肺炎,呼吸機相關性%護理%微量泵%氣道濕化%機械通氣%細辛腦註射液
폐염,호흡궤상관성%호리%미량빙%기도습화%궤계통기%세신뇌주사액
Pneumonia,ventilator associated%Nursing%Micro pump%Air passage humidification%Mechanical ventilation%Asarone injection
目的 探讨微量泵持续气道滴注细辛脑注射液预防呼吸机相关性肺炎(VAP)的临床疗效及护理方法.方法 将132例机械通气的患者分为观察组和对照组各66例,对照组采用传统湿化方法,观察组采用微量泵持续气道滴注细辛脑注射液,比较两组患者气道湿化效果和机械通气效果.结果 观察组的刺激性痰痂形成次数、吸痰次数、心率、呼吸频率、C反应蛋白、白细胞计数分别为0次,(74.5 ±21.2)次,(90.3±6.4)次/min,(22.3 ±2.8)次/min,(6.4 ±2.2)g/L,(9.2±2.1)×106/L,均优于对照组的15次,(153.5±43.6)次,(103.2±11.5)次/min,(26.7±4.5)次/min,(11.2 ±3.3)g/L,(15.7±3.5)× 106/L,差异均有统计学意义(x2/t分别为3.67,8.98,6.35,3.27,4.41,5.87;P ＜0.05)；观察组的VAP发生率、氧分压、血氧饱和度、住院时间分别为22.7％,(71.9±14.2) mm Hg,(96.5±1.8)％,(21.2 ±6.7)d,均优于对照组的54.5％,(59.5 ±9.5)mm Hg,(92.3±2.1)％,(32.5±8.5)d,差异均有统计学意义(x2/t分别为3.15,6.12,2.98,5.75；P＜0.05).结论 微量泵持续气道滴注细辛脑注射液可有效预防VAP的发生,期间加强综合护理可提高治疗效果.
目的 探討微量泵持續氣道滴註細辛腦註射液預防呼吸機相關性肺炎(VAP)的臨床療效及護理方法.方法 將132例機械通氣的患者分為觀察組和對照組各66例,對照組採用傳統濕化方法,觀察組採用微量泵持續氣道滴註細辛腦註射液,比較兩組患者氣道濕化效果和機械通氣效果.結果 觀察組的刺激性痰痂形成次數、吸痰次數、心率、呼吸頻率、C反應蛋白、白細胞計數分彆為0次,(74.5 ±21.2)次,(90.3±6.4)次/min,(22.3 ±2.8)次/min,(6.4 ±2.2)g/L,(9.2±2.1)×106/L,均優于對照組的15次,(153.5±43.6)次,(103.2±11.5)次/min,(26.7±4.5)次/min,(11.2 ±3.3)g/L,(15.7±3.5)× 106/L,差異均有統計學意義(x2/t分彆為3.67,8.98,6.35,3.27,4.41,5.87;P ＜0.05)；觀察組的VAP髮生率、氧分壓、血氧飽和度、住院時間分彆為22.7％,(71.9±14.2) mm Hg,(96.5±1.8)％,(21.2 ±6.7)d,均優于對照組的54.5％,(59.5 ±9.5)mm Hg,(92.3±2.1)％,(32.5±8.5)d,差異均有統計學意義(x2/t分彆為3.15,6.12,2.98,5.75；P＜0.05).結論 微量泵持續氣道滴註細辛腦註射液可有效預防VAP的髮生,期間加彊綜閤護理可提高治療效果.
목적 탐토미량빙지속기도적주세신뇌주사액예방호흡궤상관성폐염(VAP)적림상료효급호리방법.방법 장132례궤계통기적환자분위관찰조화대조조각66례,대조조채용전통습화방법,관찰조채용미량빙지속기도적주세신뇌주사액,비교량조환자기도습화효과화궤계통기효과.결과 관찰조적자격성담가형성차수、흡담차수、심솔、호흡빈솔、C반응단백、백세포계수분별위0차,(74.5 ±21.2)차,(90.3±6.4)차/min,(22.3 ±2.8)차/min,(6.4 ±2.2)g/L,(9.2±2.1)×106/L,균우우대조조적15차,(153.5±43.6)차,(103.2±11.5)차/min,(26.7±4.5)차/min,(11.2 ±3.3)g/L,(15.7±3.5)× 106/L,차이균유통계학의의(x2/t분별위3.67,8.98,6.35,3.27,4.41,5.87;P ＜0.05)；관찰조적VAP발생솔、양분압、혈양포화도、주원시간분별위22.7％,(71.9±14.2) mm Hg,(96.5±1.8)％,(21.2 ±6.7)d,균우우대조조적54.5％,(59.5 ±9.5)mm Hg,(92.3±2.1)％,(32.5±8.5)d,차이균유통계학의의(x2/t분별위3.15,6.12,2.98,5.75；P＜0.05).결론 미량빙지속기도적주세신뇌주사액가유효예방VAP적발생,기간가강종합호리가제고치료효과.
Objective To discuss clinical effect and nursing methods of continuous infusion of asarone injection by micro pump airway on preventing ventilator-associated pneumonia (VAP).Methods Totals of 132 patients with mechanical ventilation were divided into the observation group and the control group,each with 66 cases.The control group used the traditional humidification method,while the observation group used continuous infusion of asarone injection by micro pump airway.Effect of humidification and mechanical ventilation was compared between two groups.Results The times of phlegm scab formation,the number of sputum suction,heart rate,respiratory rate,C reactive protein and white blood cell count were respectively 0,(74.5 ±21.2) times,(90.3 ± 6.4) times/min,(22.3 ± 2.8) times/min,(6.4 ± 2.2) g/L and (9.2 ± 2.1) × 106/L in the observation group,better than those in the control group which were 15,(153.5 ±43.6)times,(103.2 ±11.5) times/min,(26.7 ± 4.5) times/min,(11.2 ± 3.3) g/L and (15.7 ± 3.5) × 10r/L,and the differences were statistically significant (x2/t =3.67,8.98,6.35,3.27,4.41,5.87,respectively; P ＜ 0.05).The incidence rate of VAP,partial pressure of oxygen,oxygen saturation and duration of hospitalization was respectively 22.7％,(71.9 ± 14.2) mm Hg,(96.5 ± 1.8) ％ and (21.2 ± 6.7) d in the observation group,also better than those in the control group which was 54.5％,(59.5 ±9.5)mm Hg,(92.3 ±2.1)％ and (32.5 ±8.5)d,and the differences were statistically significant (x2/t =3.15,6.12,2.98,5.75,respectively; P＜0.05).Conclusions Continuous infusion of asarone injection by micro pump airway can effectively prevent the occurrence of VAP,and strengthening comprehensive nursing during the period can improve the treatment effect.
