护理干预对急性脑血管病合并急性肺损伤患者排痰效果的影响  

Effect of nursing intervention on expectoration of patients with acute cerebral vascular disease complicated with acute lung injury

作　　者：王娟[1] 

机构地区：[1]山东大学附属济南市中心医院,山东济南250013

出　　处：《齐鲁护理杂志》2013年第15期1-3,共3页Journal of Qilu Nursing

摘　　要：目的:探讨护理干预对急性脑血管病合并急性肺损伤患者排痰效果的影响。方法:将105例急性脑血管病合并急性肺损伤患者随机分为干预组53例和对照组52例。对照组给予综合治疗监护及常规护理,干预组在此基础上实施护理干预。比较两组排痰效果。结果:干预组排痰后呼吸、心率、SpO2、pH值、PaO2、PaCO2均优于对照组(P<0.01),有效排痰时间、憋喘缓解时间、痰鸣音消失时间、体温恢复正常时间及监护时间少于对照组(P<0.01),排痰及肺部听诊情况优于对照组(P<0.01)。结论:对急性脑血管病合并急性肺损伤患者进行护理干预,可促进其痰液排出,提高气体交换效能,尽快改善缺氧状态,缓解憋喘症状,提高治疗效果。Objective：To investigate the effect of nursing intervention on expectoration of patients with acute cerebral vascular disease complicated with acute lung injury. Methods ： 105 patients with acute cerebral vascular disease complicated with acute lung injury were ran- domly divided into the intervention group （ n = 53 ） and the control group （ n = 52 ）. The comprehensive treatment and routine nursing care was given to the patients in the control group and nursing intervention yeas. implemented in the intervention group based on the measures mentioned in the control group. The effect of expectoration was compared between the two groups. Results ： The heart rate, SpO2 , pH, PaO2 and PaCO2 were superior in the intervention group to the control group after expectoration （P 〈 0.01 ） ;the effective expectoration time, breathlessness relief time, the time of wheezes disappearance, the time of body temperature returned to normal and monitoring time was shorter in the intervention group than the control group （ P 〈 0.01 } ; expectoration and lung auscultation was better in the intervention group than the control group （P 〈 0.01 ）. Conclusion：The nursing intervention for patients with acute cerebral vascular disease complicated with acute lung injury can promote sputum discharge ,improve gas exchange efficiency, relieve symptom of breathlessness and improve the therapeutic effect.

关 键 词：脑血管病 急性肺损伤 排痰 护理干预 

分 类 号：R473.5[医药卫生—护理学]