现代临床护理
現代臨床護理
현대림상호리
MODERN CLINICAL NURSING
2013年
4期
60-62
,共3页
气管插管%机械通气%呼吸机相关性肺炎%吸痰法
氣管插管%機械通氣%呼吸機相關性肺炎%吸痰法
기관삽관%궤계통기%호흡궤상관성폐염%흡담법
tracheal incubation%mechanical ventilation%ventilator-associated pneumonia%suction
目的 探讨改进吸痰法在气管插管机械通气患者中的应用效果观察.方法 将行气管插管机械通气的120例患者,按照随机数字表法分为试验组和对照组,每组各60例,试验组采用改进吸痰法,包括气管导管内(浅部)吸痰、气管导管外(深部)及气囊上方吸痰3部分;对照组采用常规吸痰法.两周后观察两组患者气道黏膜损伤及呼吸机相关性肺炎(ventilator-associated pneumonia,VAP)的发生情况.结果 试验组和对照组患者气道黏膜损伤发生率比较,差异具有统计学意义(1.7%vs 16.7%,χ2=8.107,P<0.01);试验组和对照组患者VAP的发生率比较,差异具有统计学意义(3.3% vs 18.3%,χ2=6.988,P<0.01).结论 改进吸痰法在气管插管机械通气患者中的应用,不仅降低了患者气道黏膜的损伤,同时还降低了VAP的发生,值得临床推广应用.
目的 探討改進吸痰法在氣管插管機械通氣患者中的應用效果觀察.方法 將行氣管插管機械通氣的120例患者,按照隨機數字錶法分為試驗組和對照組,每組各60例,試驗組採用改進吸痰法,包括氣管導管內(淺部)吸痰、氣管導管外(深部)及氣囊上方吸痰3部分;對照組採用常規吸痰法.兩週後觀察兩組患者氣道黏膜損傷及呼吸機相關性肺炎(ventilator-associated pneumonia,VAP)的髮生情況.結果 試驗組和對照組患者氣道黏膜損傷髮生率比較,差異具有統計學意義(1.7%vs 16.7%,χ2=8.107,P<0.01);試驗組和對照組患者VAP的髮生率比較,差異具有統計學意義(3.3% vs 18.3%,χ2=6.988,P<0.01).結論 改進吸痰法在氣管插管機械通氣患者中的應用,不僅降低瞭患者氣道黏膜的損傷,同時還降低瞭VAP的髮生,值得臨床推廣應用.
목적 탐토개진흡담법재기관삽관궤계통기환자중적응용효과관찰.방법 장행기관삽관궤계통기적120례환자,안조수궤수자표법분위시험조화대조조,매조각60례,시험조채용개진흡담법,포괄기관도관내(천부)흡담、기관도관외(심부)급기낭상방흡담3부분;대조조채용상규흡담법.량주후관찰량조환자기도점막손상급호흡궤상관성폐염(ventilator-associated pneumonia,VAP)적발생정황.결과 시험조화대조조환자기도점막손상발생솔비교,차이구유통계학의의(1.7%vs 16.7%,χ2=8.107,P<0.01);시험조화대조조환자VAP적발생솔비교,차이구유통계학의의(3.3% vs 18.3%,χ2=6.988,P<0.01).결론 개진흡담법재기관삽관궤계통기환자중적응용,불부강저료환자기도점막적손상,동시환강저료VAP적발생,치득림상추엄응용.
Objective To investigate the effect of improved suction on patients undergoing mechanical ventilation via tracheal incubation.Methods One hundred and twenty ICU patients undergoing mechanical ventilation via tracheal incubation were divided into the experiment group and the control group by the randomized digital table,60 patients in each group.The experiment group received the improved suction which included superficial suction in the tracheal tube,deep suction outside the tracheal tube and suction in the upper balloon.The control group received the conventional suction.Then we observed the incidence of airway mucosa damage and ventilator-associated pneumonia across the two groups after two weeks.Results The incidence rate of airway mucosa damage was 1.7%in the experiment group,which was significantly lower than that of 16.7%in the control group(χ2=8.107,P<0.01).The incidence of ventilator-associated pneumonia was 3.3%in the experiment group,which was significantly lower than that of 18.3%in the control group(χ2=6.988,P<0.01).Conclusions The improved suction may not only decrease the damage of airway mucosa, but also reduce the incidence of ventilator-associated pneumonia.Therefore, it’s worthy of clinically spreading.
