充气排痰法加手法震颤在无自主呼吸机械通气患者的临床应用  

Clinical application of inflatable expectoration combined practices tremor in ventilated patients without spontaneous breathing

作　　者：杨宁梅[1,2] 谢敏[1,2] 杨兴华 王丽[1,2] 陈柯[1,2] 李雪梅[1,2] 申艳玲[3] 

机构地区：[1]川北医学院第二临床医学院 [2]南充市中心医院ICU,四川南充637000 [3]中日友好医院ICU,北京100029

出　　处：《西部医学》2010年第4期646-648,共3页Medical Journal of West China

摘　　要：目的比较手法震颤＋克气排痰法与传统的叩背排痰法在无自主呼吸机械通气患者排痰护理中的效果。方法将药物镇静、颅脑损伤等无自主呼吸需机械通气的84例患者随机分为两组，实验组采用手法震颤＋充气排痰法，对照组采用人工叩背排痰。两种效果进行对比，比较5～10天内两组氧分压、二氧化碳分压、氧和指数、住院时间、排痰量、呼吸音等改善情况。结果实验组平均排痰量显著增多，哆音显著改善，氧和指数明显增高，肺不张的发生率明显低于对照组，住院时间明显缩短，与对照组比较，差异有统计学意义（P〈0．05）。结论充气排痰法＋手法震颤优于传统的叩背排痰法，可在临床广泛推广应用。Objective To compare law tremor inflatable expectoration with traditional callback method in absence of spontaneous breathing in mechanically ventilated patients with expectoration care results. Methods Drug sedation, such as traumatic brain injury required mechanical ventilation without spontaneous breathing of 84 patients were randomly divided into two groups, including experimental group with tremor inflatable expectoration method and the control group with artificial call-back expectoration. The partial pressure of oxygen, partial pressure of carbon dioxide, transcutaneous oxygen saturation, length of stay, expectoration volume and breathe sounds were observed. Results The average expec- toration volume of the experimental group was significantly improved compared with that in control group. The rales, oxygen and index in the experimental group sigtlifieantly increased. The incidence of ateleetasis in the experimental group was significantly lower than the control group. The length of stay in the experimental group was significantly shorter than that in the control group. Conclusion The inflatable expectoration method is superior to the traditional approach for tremor expectoration.

关 键 词：充气排痰法 手法震颤 无自主呼吸 机械通气 

分 类 号：R472[医药卫生—护理学]