有创机械通气患者系统排痰护理效果分析(1)
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[摘要] 目的：探讨系统的排痰护理，减少有创机械通气患者痰阻发生，改善通气的疗效。方法：选择本院2007年10月～2010年12月收治的行有创机械通气的患者108例，随机分为研究组和对照组组，各54例，对照组给予常规的机械通气排痰护理，研究组给予系统的排痰护理包括增加室内湿度、湿化气道、掌握吸痰时机和吸痰技巧、保证机体液体入量等，观察两组护理效果及通气改善情况。结果：对照组痰阻发生率明显高于研究组，差异有统计学意义(P<0.05)。两组死亡例数比较差异无统计学意义(P>0.05)，两组机械通气后血氧分压比较，差异无统计学意义，但是对照组血二氧化碳分压明显高于研究组，差异有统计学意义。结论：科学系统的的排痰护理措施能有效减少有创机械通气患者痰阻发生，改善通气效果。
[关键词] 机械通气；人工气道；痰痂；护理
[中图分类号] R473.5 [文献标识码] A [文章编号] 1674-4721(2012)01(b)-133-02
Effect analysis of expectoration care in reducing phlegm and improving ventilation of patients with invasive mechanical ventilation
DENG Quanying1, LING Xuan2
1. ICU of Chinese Medicine Hospital of Chenzhou City in Hunan Province, Chenzhou 423000, China; 2. The Psychiatric Hospital of Chenzhou City in Hunan Province, Chenzhou 423000, China
[Abstract] Objective: To investigate the effect of expectoration care in reducing phlegm and improving the ventilation of patients with invasive mechanical ventilation. Methods: One hundred and eight patients with invasive mechanical ventilation in our hospital from October 2007 to December 2010 were randomly divided into study group and control group, 54 cases in each group, patients in control group were given conventional expectoration care, patients in study group were given systematic expectoration care including increase indoor humidity, airway humidification, control the suction timing and suction techniques, ensure fluid intake, etc.. Care effect and ventilation improvement of two groups were observed. Results: Phlegm of control group were significantly more than study group, the difference was statistically significant (P<0.05). Death cases of two groups had no statistically significant difference (P>0.05), PaO2 of two groups had no significant difference, but PaCO2 of the control group was significantly higher than the study group, the difference was statistically significance. Conclusion: The scientific systemanic expectoration care can effectively reduce phlegm in patients with invasive mechanical ventilation, and it can improve the ventilation effect.
[Key words] Mechanical ventilation; Artificial airway; Sputum; Nursing
有创机械通气就是指建立人工气道后(气管插管或气管切开)与呼吸机连接的通气方法。有创机械通气是抢救各种原因所致的呼吸衰竭的有效措施，痰液阻塞气管是机械通气的常见并发症，处理不及时可有生命危险[1]。本文笔者选择本院近几年收治的有创机械通气患者54例，给予科学系统的排痰护理，效果较好，报道如下：
1 资料与方法
1.1 一般资料
本科2007年10月～2010年12月收治有创机械通气患者共108例，随机分为研究组和对照组，各54例，其中，研究组男29例，女25例，年龄19～76岁，平均54.5岁，经口气管插管46例，气管切开8例 ......
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