不同吸痰深度在新生儿机械通气吸痰时的应用研究  

Research on different depth of sputum suctioning applied in the newborn with mechanical ventilation

作　　者：张婕[1] 周海燕[1] 

机构地区：[1]安徽省滁州市第一人民医院儿科,239000

出　　处：《淮海医药》2011年第3期207-208,共2页Journal of Huaihai Medicine

摘　　要：目的探讨不同吸痰深度在新生儿机械通气吸痰时对患儿的影响。方法将56例行机械通气的新生儿随机分为浅层吸痰组及传统的深层吸痰组。每组各28例,分别在吸痰前后记录其有效率及呼吸、心率、血压、血氧饱和度、潮气量等数据。结果 2组吸痰有效率差异无统计学意义,其中浅层吸痰组患儿呛咳反应较少,其吸痰前后呼吸、心率、血压、血氧饱和度及潮气量等数值差异值小于传统深层吸痰组,差异有统计学意义(P<0.05)。结论浅层吸痰能在有效吸痰的同时能减少对患儿的刺激及不良反应的发生,具有推广价值。Objective To investigate effects of different depth of suction on the neonates with mechanical ventilation.Methods 56 neonates with mechanical ventilation were randomly divided into a shallow sputum suctioning group and a traditional deep sputum suctioning group,28 cases in each group.The data which contained efficiency of suction,breathing rate（R）,heart rate（HR）,blood pressure（BP）,oxygen saturation（SpO2） and tidal volume（VT） were recorded before and after the suction.Results There was no statistical significance between shallow sputum suctioning group and the traditional deep sputum suctioning group in terms of efficiency of suction.Among them,the patients in shallow sputum suctioning group had less cough response.The differences in the value of HR,R,BP,SpO2 and VT in the shallow suctioning group were smaller than those in the traditional deep sputum suctioning group.The differences were statistically significant（P0.05）.Conclusion Shallow sputum suctioning can reduce the incidence of stimulation and adverse reactions in neonates,and is worth to be promoted.

关 键 词：机械通气 吸痰 护理 婴儿 新生 

分 类 号：R725.6[医药卫生—儿科]