当代护士(中旬刊)
噹代護士(中旬刊)
당대호사(중순간)
Today Nurse
2015年
6期
126-127,128
,共3页
纤支镜%气管插管%VAP%撤机成功率%护理
纖支鏡%氣管插管%VAP%撤機成功率%護理
섬지경%기관삽관%VAP%철궤성공솔%호리
bronchoscopy%endotracheal intubation%VAP%weaning success rate%nursing
目的:探讨纤支镜引导下经鼻行气管插管对机械通气患者的影响。方法将本院2012年9月~2013年8月气管插管行机械通气的患者120例随机分为试验组和对照组,每组各60例。其中,试验组患者在纤支镜引导下经鼻行气管插管,对照组在喉镜下经口腔行气管插管,2组患者均按照气管插管接呼吸机辅助通气护理常规进行护理。观察2组患者呼吸机相关性肺炎的发生率及撤机成功率的情况。结果试验组患者呼吸机相关性肺炎发生率为6.7%,对照组为26.7%,2组比较差异具有统计学意义(χ2=8.64,P <0.05);试验组患者撤机成功率为91.7%,对照组为68.3%,2组比较差异具有统计学意义(χ2=10.21,P <0.05)。结论纤支镜引导下经鼻行气管插管不仅可降低呼吸机相关性肺炎的发生率,同时也提高了患者的撤机成功率,值得临床推广应用。
目的:探討纖支鏡引導下經鼻行氣管插管對機械通氣患者的影響。方法將本院2012年9月~2013年8月氣管插管行機械通氣的患者120例隨機分為試驗組和對照組,每組各60例。其中,試驗組患者在纖支鏡引導下經鼻行氣管插管,對照組在喉鏡下經口腔行氣管插管,2組患者均按照氣管插管接呼吸機輔助通氣護理常規進行護理。觀察2組患者呼吸機相關性肺炎的髮生率及撤機成功率的情況。結果試驗組患者呼吸機相關性肺炎髮生率為6.7%,對照組為26.7%,2組比較差異具有統計學意義(χ2=8.64,P <0.05);試驗組患者撤機成功率為91.7%,對照組為68.3%,2組比較差異具有統計學意義(χ2=10.21,P <0.05)。結論纖支鏡引導下經鼻行氣管插管不僅可降低呼吸機相關性肺炎的髮生率,同時也提高瞭患者的撤機成功率,值得臨床推廣應用。
목적:탐토섬지경인도하경비행기관삽관대궤계통기환자적영향。방법장본원2012년9월~2013년8월기관삽관행궤계통기적환자120례수궤분위시험조화대조조,매조각60례。기중,시험조환자재섬지경인도하경비행기관삽관,대조조재후경하경구강행기관삽관,2조환자균안조기관삽관접호흡궤보조통기호리상규진행호리。관찰2조환자호흡궤상관성폐염적발생솔급철궤성공솔적정황。결과시험조환자호흡궤상관성폐염발생솔위6.7%,대조조위26.7%,2조비교차이구유통계학의의(χ2=8.64,P <0.05);시험조환자철궤성공솔위91.7%,대조조위68.3%,2조비교차이구유통계학의의(χ2=10.21,P <0.05)。결론섬지경인도하경비행기관삽관불부가강저호흡궤상관성폐염적발생솔,동시야제고료환자적철궤성공솔,치득림상추엄응용。
Objective To investigate the impact of bronchoscopy -guided nasal intubation in patients with mechanical ventilation.Methods Patients with the number of 120 with mechanical ventilation in hospital from September 2012 to August 2013 were divided randomly into 2 groups.The treatment group of 60 patients received bronchoscopy -guided tracheal intubation,and the control group with 60 patients conduc-ted laryngoscope endotracheal intubation through the mouth.All the patients of the 2 groups received routing nursing.Comparing the incidence of ventilator -associated pneumonia and the success rate of withdraw machine of the 2 groups.Results The incidence of ventilator -associat-ed pneumonia was 6.7% in the treatment group while 26.7 in the control group(χ2 =8.64,P <0.05).The success rate of withdraw machine of the treatment group was 91.7% compared with 68.3% of thecontrol group(χ2 =10.21,P <0.05).Conclusion Bronchoscopy -guided nasal intubation can not be only reduce the incidence of ventilator -associated pneumonia,but also improve the success rate of weaning ma-chine,worthy of clinical application.