中国医药科学
中國醫藥科學
중국의약과학
CHINA MEDICINE AND PHARMACY
2015年
7期
116-118
,共3页
潮气量%机械通气%肺损伤%护理对策
潮氣量%機械通氣%肺損傷%護理對策
조기량%궤계통기%폐손상%호리대책
Tidal volume%Mechanical ventilation%Lung injury%Nursing countermeasures
目的：分析潮气量机械通气在不同的情况之下对于肺损伤所造成的影响，探讨有效的护理对策。方法把120例患者随机分成对照组、小潮气量机械通气组（通气A组）及大潮气量机械通气组（通气B组），三组各40例，通气A组与通气B组通气的时间皆为4h。检测患者肺组织的总蛋白、白细胞的计数、肿瘤的坏死因子α蛋白与mRNA含量以及中性粒细胞细胞髓的过氧化物酶（MPO）含量，制定相应的护理对策。结果和对照组相比较，通气B组的肺组织的总蛋白、白细胞的计数、肿瘤的坏死因子α蛋白与mRNA含量以及MPO含量皆有明显增加，差异有统计学意义（P＜0.05）；而通气A组上述指标变化不明显，差异无统计学意义（P＞0.05）。结论大潮气量机械通气会造成呼吸机致使肺损伤，在临床--加强对于机械通气的护理防护，制定有效的护理对策，采取综合护理干预的方法能够有效的促进患者早日康复。
目的：分析潮氣量機械通氣在不同的情況之下對于肺損傷所造成的影響，探討有效的護理對策。方法把120例患者隨機分成對照組、小潮氣量機械通氣組（通氣A組）及大潮氣量機械通氣組（通氣B組），三組各40例，通氣A組與通氣B組通氣的時間皆為4h。檢測患者肺組織的總蛋白、白細胞的計數、腫瘤的壞死因子α蛋白與mRNA含量以及中性粒細胞細胞髓的過氧化物酶（MPO）含量，製定相應的護理對策。結果和對照組相比較，通氣B組的肺組織的總蛋白、白細胞的計數、腫瘤的壞死因子α蛋白與mRNA含量以及MPO含量皆有明顯增加，差異有統計學意義（P＜0.05）；而通氣A組上述指標變化不明顯，差異無統計學意義（P＞0.05）。結論大潮氣量機械通氣會造成呼吸機緻使肺損傷，在臨床--加彊對于機械通氣的護理防護，製定有效的護理對策，採取綜閤護理榦預的方法能夠有效的促進患者早日康複。
목적：분석조기량궤계통기재불동적정황지하대우폐손상소조성적영향，탐토유효적호리대책。방법파120례환자수궤분성대조조、소조기량궤계통기조（통기A조）급대조기량궤계통기조（통기B조），삼조각40례，통기A조여통기B조통기적시간개위4h。검측환자폐조직적총단백、백세포적계수、종류적배사인자α단백여mRNA함량이급중성립세포세포수적과양화물매（MPO）함량，제정상응적호리대책。결과화대조조상비교，통기B조적폐조직적총단백、백세포적계수、종류적배사인자α단백여mRNA함량이급MPO함량개유명현증가，차이유통계학의의（P＜0.05）；이통기A조상술지표변화불명현，차이무통계학의의（P＞0.05）。결론대조기량궤계통기회조성호흡궤치사폐손상，재림상--가강대우궤계통기적호리방호，제정유효적호리대책，채취종합호리간예적방법능구유효적촉진환자조일강복。
Objective To analyze the effect of tidal volume mechanical ventilation on lung injury at different condition, to study the effective nursing countermeasure. Methods120 patients were randomly divided into control group, low tidal volume mechanical ventilation group(ventilation A group), and large tidal volume mechanical ventilation group(ventilation B group), with 40 cases in each group and with the ventilation time of 4h in ventilation A group and ventilation B group. To detect the total protein, leukocyte count, tumor necrosis factor α, content of Mrna, content of myeloperoxidase in neutrophil (MPO)of patients’ lung tissue, to establish corresponding nursing countermeasure.Results The total protein, leukocyte count, tumor necrosis factor α, content of mRNA, content of MPO of patients' lung tissue in ventilation B group were obviously increased than which in control group, the difference were statistical significance(P<0.05), while which in ventilation A group didn't had obvious change than which in control group, there was no statistical significance(P>0.05).Conclusion Large tidal volume mechanical ventilation, which will cause lung injury, should be strengthened on nursing protection to make effective nursing countermeasure and to adopt comprehensive nursing intervention which could effective promote patients' rehabilitation early.
