密闭式吸痰系统在成人高频振荡机械通气患者气道管理中的临床研究  

Clinical research of closed suctioning system in the airway management of high frequency oscillatory ventilation of adult patients

作　　者：张志刚[1] 张彩云[2] 

机构地区：[1]兰州大学第一医院重症医学科,甘肃兰州730000 [2]兰州大学第一医院护理部,甘肃兰州730000

出　　处：《兰州大学学报（医学版）》2013年第3期53-55,59,共4页Journal of Lanzhou University（Medical Sciences）

摘　　要：目的探讨密闭式吸痰系统(CSS)在成人高频振荡机械通气(HFOV)患者气道管理中的应用价值。方法 25例成人重症急性呼吸窘迫综合症患者应用HFOV治疗,针对患者在HFOV过程中气道吸引的方式进行随机分组,对照组12例应用开放式吸痰系统进行气道吸引,实验组13例采用CSS进行气道吸引。监测指标:吸引前后氧合指数、吸引后经皮测氧饱和度恢复时间、护理工作量、撤机时间、呼吸机相关性肺炎。结果 CSS在HFOV治疗过程中吸痰后氧合指数较开放式吸痰系统明显升高,差异有统计学意义(P<0.05),CSS吸引后经皮测氧饱和度恢复时间、护理工作量、撤机时间、呼吸机相关性肺炎发生均较开放式吸痰系统下降,差异有统计学意义(P<0.05)。结论成人重症急性呼吸窘迫综合症患者应用HFOV治疗并应用CSS进行呼吸道管理可获得显著疗效。Objective To explore the value of closed suctioning system(CSS) in the airway management of high frequency oscillation ventilation(HFOV) of adult patients.Methods 25acute respiratory distress syndrome patients with HFOV therapy were randomly divided into the control group and the observation group by airway clean mode,12 patients in control group used open suctioning system clean airway while 13 patients in observation group used CSS clean airway.Their monitor indicators included oxygenation index,the skin measured oxygen saturation recovery time,nursing workload,withdraw mechanical ventilation time,the incidence of ventilator-associated pneumonia.Results Compared with control group,the oxygen index was significantly higher after using CSS during HFOV therapy,which had statistical significance(P&lt;0.05),and other monitor indicators were lower after using CSS during HFOV therapy and it had statistical significance(P&lt;0.05).Conclusion The CSS is proved to be a more effective wayto clean airway in patients with acute respiratory distress syndrome accepted HFOV therapy.

关 键 词：密闭式吸痰系统 高频振荡通气 气道管理 

分 类 号：R[医药卫生]