胸壁挤压吸痰法在NICU机械通气新生儿呼吸道管理中的应用  

The application of thoracic wall extrusion the phlegm in the NICU's neonates with mechanical ventilation in respiratory management

作　　者：郭金叩[1] 张佩超[1] 郭香芝[1] 魏月琴[1] 

机构地区：[1]河北省沧州市中心医院儿科,061001

出　　处：《护理实践与研究》2009年第16期29-30,共2页Nursing Practice and Research

摘　　要：目的:探讨胸壁挤压法在NICU机械通气新生儿排痰护理中的应用及效果。方法:将101例入住NICU病房需机械通气排痰的新生儿按住院号的单双号,随机分为干预组51例和对照组50例。对照组采取常规排痰护理措施,干预组除采取常规排痰护理措施外,加用胸壁挤压法,并对两组新生儿排痰后的血氧饱和度上升幅度、肺部听诊情况及医院获得性肺炎、刺激性干咳、肺不张等并发症的情况进行比较。结果:干预组新生儿排痰后的血氧饱和度上升幅度、肺部听诊优良率高于对照组(P<0.01),并发症发生情况低于对照组(P<0.01)。结论:胸壁挤压法在NICU机械通气新生儿排痰护理中的应用效果较好,值得临床推广应用。Objective ：To inquire into the application and effection of thoracic wail extrusion the phlegm in the NICU （ Neonatal intensive care unit ） ＇ s neonates with mechanical ventilation. Metheds：101 NICU patients were randomly divided into intervention group （51 cases） and control group （50 cases） selected from the odd and even hospitalization number. Taking control group of conventional care measures, the intervention group in addition to conventional care plus thoracic wall extrusion method. Then drawing a comparison between the two groups on the incidence of oxygen saturation increase rate, pulmonary auscultation, hospital -acquired pneumonia and pulmonary atelectasis. Results：The oxygen saturation increase rate, pulmonary auscultation and complications in intervention were better than in control group. Conclusion： Thoracic wall extrusion was effective and to be worth promoting in clinical.

关 键 词：胸壁挤压 吸痰法 机械通气 新生儿 

分 类 号：R473.72[医药卫生—护理学]