经鼻气管内吸痰方法及其护理  

Methods and nursing of nasotracheal sputum aspiration

作　　者：李顺芳[1] 何映坪[1] 

机构地区：[1]广东省佛山市中医院呼吸内科,广东佛山528000

出　　处：《中国医药导报》2011年第32期169-170,共2页China Medical Herald

摘　　要：目的:探讨低负压经鼻气管内按需吸痰对老年肺部感染的临床效果。方法:将38例需吸痰的患者随机分为对照组和实验组,各19例,对照组采用常规方法吸痰,实验组采用低负压按需吸痰法。观察两组患者吸痰过程中氧饱和度、呼吸、血性痰液、每日吸痰次数等。结果:实验组吸痰过程中心率、氧饱和度、呼吸较对照组稳定,血痰发生及每日吸痰次数明显降低(P<0.05)。结论:低负压经鼻气管内按需吸痰可维持较好的血氧饱和度,减少对呼吸道黏膜的机械性损伤,降低患者耗材费用,减轻护理工作量。Objective： To study the clinical effects of nasotracheal sputum aspiration on demand with low negative pressure in elder patients with pulmonary infection. Methods： 38 patients requiring sputum aspiration were randomly divided into the control group and the experiment group with 19 patients for each group. The control group used conventional methods for sputum aspiration while the experiment group used the method of nasotracheal sputum aspiration on demand with low negative pressure. Oxygen saturation, respiration, bloody sputum, daily frequency of sputum aspiration and others of the two groups during sputum aspiration were observed. Results： The experiment group had steadier heart rate, oxygen saturation and respiration than the control group during sputum aspiration and its frequency of bloody sputum occurrence and daily frequency of sputum aspiration obviously reduced （P〈0.05）. Conclusion： Nasotracheal sputum aspiration on demand with low negative pressure can maintain preferable oxygen saturation, reduce mechanical injury of respiratory mucosa, reduce consumable costs of patients and nursing workload.

关 键 词：经鼻气管内吸痰 肺部感染 护理 

分 类 号：R473.5[医药卫生—护理学]