护理研究
護理研究
호리연구
NURSING RESEARCH
2015年
25期
3122-3124
,共3页
吸痰时机%气管插管%痰痂形成%湿化液%黏膜损伤
吸痰時機%氣管插管%痰痂形成%濕化液%黏膜損傷
흡담시궤%기관삽관%담가형성%습화액%점막손상
sputum suction time%tracheal intubation%sputum scab formation%humidification fluid%mucosal injury
[目的]寻找气道滴入湿化后吸痰的最佳时间点,以预防痰痂形成。[方法]选取实施气管插管并机械通气病人90例,随机分为A 组、B 组、C 组,分别在湿化后3个不同的时间点实施吸痰,A 组于湿化液滴入后2 min 吸痰；B 组于湿化液滴入后5 min 吸痰；C组于湿化液滴入后7 min 吸痰。分析比较3组病人舒适度改变、气道黏膜损伤程度、气道湿化效果、有无痰痂形成。[结果]湿化后2 min 进行吸痰的病人湿化满意度显著低于其他两组病人(P <0.01)；湿化后2 min 进行吸痰的病人较其他两组病人更易发生气道黏膜损伤(P <0.05)；湿化5 min 后吸痰病人舒适度显著高于湿化2 min 后吸痰病人(P <0.01)；湿化5 min 后吸痰病人痰痂形成例数少于湿化2 min 后吸痰病人(P <0.05)。[结论]气道滴入湿化液后5 min 吸痰可以减少痰痂形成,为气道滴入湿化后吸痰的最佳时间点。
[目的]尋找氣道滴入濕化後吸痰的最佳時間點,以預防痰痂形成。[方法]選取實施氣管插管併機械通氣病人90例,隨機分為A 組、B 組、C 組,分彆在濕化後3箇不同的時間點實施吸痰,A 組于濕化液滴入後2 min 吸痰；B 組于濕化液滴入後5 min 吸痰；C組于濕化液滴入後7 min 吸痰。分析比較3組病人舒適度改變、氣道黏膜損傷程度、氣道濕化效果、有無痰痂形成。[結果]濕化後2 min 進行吸痰的病人濕化滿意度顯著低于其他兩組病人(P <0.01)；濕化後2 min 進行吸痰的病人較其他兩組病人更易髮生氣道黏膜損傷(P <0.05)；濕化5 min 後吸痰病人舒適度顯著高于濕化2 min 後吸痰病人(P <0.01)；濕化5 min 後吸痰病人痰痂形成例數少于濕化2 min 後吸痰病人(P <0.05)。[結論]氣道滴入濕化液後5 min 吸痰可以減少痰痂形成,為氣道滴入濕化後吸痰的最佳時間點。
[목적]심조기도적입습화후흡담적최가시간점,이예방담가형성。[방법]선취실시기관삽관병궤계통기병인90례,수궤분위A 조、B 조、C 조,분별재습화후3개불동적시간점실시흡담,A 조우습화액적입후2 min 흡담；B 조우습화액적입후5 min 흡담；C조우습화액적입후7 min 흡담。분석비교3조병인서괄도개변、기도점막손상정도、기도습화효과、유무담가형성。[결과]습화후2 min 진행흡담적병인습화만의도현저저우기타량조병인(P <0.01)；습화후2 min 진행흡담적병인교기타량조병인경역발생기도점막손상(P <0.05)；습화5 min 후흡담병인서괄도현저고우습화2 min 후흡담병인(P <0.01)；습화5 min 후흡담병인담가형성례수소우습화2 min 후흡담병인(P <0.05)。[결론]기도적입습화액후5 min 흡담가이감소담가형성,위기도적입습화후흡담적최가시간점。
Objective:To find out the best time point for the sputum suction after dripping into humidification fluids so as to prevent the formation of sputum scab.Methods:A total of 90 patients with tracheal intubation and mechanical ventilation were selected and randomly divided into group A,group B and group C.The sputum suc-tion was carried out at 3 different time points after humidification.The patients in group A were sucked 2 min later after dripping into humidification fluid.The patients in group B 5 min later after dripping into humidifica-tion fluid,C group 7 min later after dripping into humidification fluid.The change of comfort degree,the degree of airway mucosal injury,the effect of airway humidification,and the formation of sputum scab or not among 3 groups were analyzed and compared.Results:The patients’humidification satisfaction in group A was signifi-cantly lower than that in other two groups(P <0.01).Patients in group A were more prone to tracheal mucosa injury than other two groups(P <0.05).Comfort level of patients in group B was significantly higher than that in group A(P <0.01).The number of patients in group B was less than that in group A(P <0.05).Conclusion:Sputum suction 5 min later after dripping into humidification fluid can reduce the formation of sputum callus, which is the best time point to sputum suction after dripping into humidification fluid.
