气道分级管理在ICU机械通气患者中的应用  

Application of airway grading management to patients with mechanical ventilation in ICU

作　　者：冯洁惠[1] 黄莺[1] 张圆圆[1] 叶青青[1] 方琴[1] 徐建宁[2] 

机构地区：[1]浙江大学医学院附属第一医院,浙江杭州310003 [2]浙江中医药大学护理学院

出　　处：《齐鲁护理杂志》2013年第2期19-21,共3页Journal of Qilu Nursing

摘　　要：目的:探讨气道分级管理在ICU机械通气患者中的应用效果。方法:将96例ICU机械通气患者随机分为实验组47例和对照组49例,实验组根据患者咳嗽反射、痰液的黏滞度、痰液的量将气道管理级别分为A、B、C、D四级,按气道分级制定护理措施,实施不同频次的综合胸部物理治疗;对照组按常规每2 h胸部物理治疗1次。结果:机械通气第7天,实验组潮气量、呼吸频率、氧合指数(动脉血气氧分压/氧气浓度PaO2/FiO2)、急性生理与慢性健康评分(APACHEⅡ评分)均优于对照组(P<0.01);实验组患者机械通气时间明显少于对照组(P<0.01)。结论:基于不同频次胸部物理治疗的气道分级管理对ICU机械通气患者有积极作用,提高患者生活质量。Objective ：To investigate the application effect of airway grading management to patients with mechanical ventilation in ICU. Methods ：96 patients with mechanical ventilation in ICU were randomly divided into the experimental group （n =47） and the control group （ n = 49）. The airway management was divided into grade A, B, C and D in the experimental group according to patients＇cough reflex, spu- tum viscosity and sputum volume ; the nursing program was worked out according to the grades of airway management and the patients were given integrated chest physical therapy in different frequency;in the control group the patients received routine chest physical therapy one time every 2 hours. Results：On the 7th day of mechanical ventilation, the tidal volume, respiratory rate, oxygen index （ PaO2/FiO2）, the scores of APACHE Ⅱ were superior in the experimental group to the control group （P 〈 0.01 ）;the mechanical ventilation time was obvi- ously shorter in the experimental group than the control group （P 〈 0.01 ）. Conclusion ： The airway grading management based on chest physiotherapy in different frequency has positive effect on patients with mechanical ventilation in ICU and can improve their quality of life.

关 键 词：气道分级管理 机械通气 ICU 

分 类 号：R473.6[医药卫生—护理学]