临床医学工程
臨床醫學工程
림상의학공정
Clinical Medical & Engineering
2015年
10期
1397-1398
,共2页
非计划性拔管%ICU%气管插管%护理干预
非計劃性拔管%ICU%氣管插管%護理榦預
비계화성발관%ICU%기관삽관%호리간예
Unplanned extubation%ICU%Tracheal intubation%Nursing intervention
目的：探讨综合性护理干预降低ICU小儿气管插管非计划性拔管的效果。方法选取我院2014年5月至2015年3月收治的140例气管插管患儿作为研究对象。使用随机数字表法将患者分为观察组和对照组，各70例。对照组患儿实施气管插管常规护理，观察组实施综合护理干预。观察两组患儿在气管插管期间的非计划性拔管发生情况，并分析非计划性拔管发生的原因。结果观察组非计划性拔管发生率为1.43%(1/70)，对照组非计划性拔管发生率为11.43%(8/70)，两组比较差异具有统计学意义(P＜0.05)。非计划性拔管发生原因包括痰液阻塞气道引起喉部痉挛而拔管2例，镇静药物用量不足，患儿烦躁不安而拔管4例，护理人员在为患儿翻身时造成了管道脱落2例，导管固定不牢脱管1例。结论对ICU气管插管患儿实施综合性护理干预，能有效降低非计划性拔管风险，保障患儿安全。
目的：探討綜閤性護理榦預降低ICU小兒氣管插管非計劃性拔管的效果。方法選取我院2014年5月至2015年3月收治的140例氣管插管患兒作為研究對象。使用隨機數字錶法將患者分為觀察組和對照組，各70例。對照組患兒實施氣管插管常規護理，觀察組實施綜閤護理榦預。觀察兩組患兒在氣管插管期間的非計劃性拔管髮生情況，併分析非計劃性拔管髮生的原因。結果觀察組非計劃性拔管髮生率為1.43%(1/70)，對照組非計劃性拔管髮生率為11.43%(8/70)，兩組比較差異具有統計學意義(P＜0.05)。非計劃性拔管髮生原因包括痰液阻塞氣道引起喉部痙攣而拔管2例，鎮靜藥物用量不足，患兒煩躁不安而拔管4例，護理人員在為患兒翻身時造成瞭管道脫落2例，導管固定不牢脫管1例。結論對ICU氣管插管患兒實施綜閤性護理榦預，能有效降低非計劃性拔管風險，保障患兒安全。
목적：탐토종합성호리간예강저ICU소인기관삽관비계화성발관적효과。방법선취아원2014년5월지2015년3월수치적140례기관삽관환인작위연구대상。사용수궤수자표법장환자분위관찰조화대조조，각70례。대조조환인실시기관삽관상규호리，관찰조실시종합호리간예。관찰량조환인재기관삽관기간적비계화성발관발생정황，병분석비계화성발관발생적원인。결과관찰조비계화성발관발생솔위1.43%(1/70)，대조조비계화성발관발생솔위11.43%(8/70)，량조비교차이구유통계학의의(P＜0.05)。비계화성발관발생원인포괄담액조새기도인기후부경련이발관2례，진정약물용량불족，환인번조불안이발관4례，호리인원재위환인번신시조성료관도탈락2례，도관고정불뢰탈관1례。결론대ICU기관삽관환인실시종합성호리간예，능유효강저비계화성발관풍험，보장환인안전。
Objective To investigate the effect of comprehensive nursing intervention on reducing the unplanned extubation of pediatric tracheal intubation in ICU. Methods 140 cases of children with tracheal intubation admitted to our hospital from May 2014 to March 2015 were selected and divided into observation group and control group according to random number table, with 70 cases in each group. The control group was given routine nursing, the observation group was given comprehensive nursing intervention. The occurrence and reasons of unplanned extubation of two groups were observed. Results The incidence of unplanned extubation of observation group was 1.43% (1/70), significantly lower than 11.73% (8/70) of control group, with statistical difference (P <0.05). The reasons of unplanned extubation included sputum airway obstruction leading to laryngeal spasm and extubation in 2 cases, insufficient sedative drugs leading to children's irritability and extubation in 4 cases, pipeline off caused by nurses helped children turn over in 2 cases, and loose fixation catheter leading to pipeline off in one case. Conclusions The application of comprehensive nursing intervention in ICU children with tracheal intubation can effectively reduce the risk of unplanned extubation, and ensure the safety of children.
