CAJ | 학술논문

目的：探讨按压胸骨上窝联合浅部吸痰法用于重型颅脑损伤气管切开患者的临床效果。方法将68例患者随机分为对照组和试验组各34例，对照组采用常规吸痰法，试验组采用按压胸骨上窝联合浅部吸痰法，通过对2组患者在不同时机采取不同的吸引方法、吸引压力、时间，研究重型颅脑损伤气管切开患者的吸痰效果。结果试验组气道黏膜损伤、吸痰次数、肺部感染显著少于对照组，差异有统计学意义（P ＜0．05）。结论按压胸骨上窝联合浅部吸痰法能减轻吸痰操作对气道黏膜的损伤，减少每日吸痰次数，降低肺内感染的发生率。
목적：탐토안압흉골상와연합천부흡담법용우중형로뇌손상기관절개환자적림상효과。방법장68례환자수궤분위대조조화시험조각34례，대조조채용상규흡담법，시험조채용안압흉골상와연합천부흡담법，통과대2조환자재불동시궤채취불동적흡인방법、흡인압력、시간，연구중형로뇌손상기관절개환자적흡담효과。결과시험조기도점막손상、흡담차수、폐부감염현저소우대조조，차이유통계학의의（P ＜0．05）。결론안압흉골상와연합천부흡담법능감경흡담조작대기도점막적손상，감소매일흡담차수，강저폐내감염적발생솔。
Objective To study the clinical efficacy the sternal elevation fossa combined with shallow sputum suction method for severe craniocerebral injury patients with tracheotomy. Methods A total of 68 patients were randomly divided into control group with 34 cases and the experimental group with 34 cases.The control group used conventional sputum suction method while the experimental group used the method of pressure on the sternum fossa combined with shal-low sputum suction.The different suction method,suction pressure,the time,and sputum suction efficacy of patients with severe head injury tracheostomy was studied.Results The airway mucosa injury,numbers of sputum suction,and pulmonary infection in the experimental group were signif-icantly lower than that in the control group,the difference was statistically significant (P <0.05). Conclusion Press the sternal elevation fossa combined with shallow sputum suction method can reduce the operation of the airway mucosa injury,as well as reduce numbers of sputum suction,and the incidence of infection in the lung.