集束化护理对危重症患儿气管插管拔管后喉头水肿的影响  

Effect of bundle care on larygeal edema children patients with trachea cannula after extubation

作　　者：冯运芳[1] 宁文杰[2] 刘岩平[1] 田素斋[1] 

机构地区：[1]河北医科大学第二医院,石家庄市050000 [2]河北医科大学研究生学院

出　　处：《护理实践与研究》2014年第5期94-95,共2页Nursing Practice and Research

摘　　要：目的：探讨集束化护理干预对危重症患儿气管插管拔管后喉头水肿的影响。方法：选择气管插管拔管后喉头水肿的患儿42例,按入院时间将2010年6月～2011年7月入住PICU的21例患儿作为对照组,将2011年8月～2012年12月入住PICU的21例患儿作为观察组。对照组给予喉头水肿的常规护理,观察组在常规护理的基础上进行集束化护理,比较两组患儿喉头水肿症状的持续时间。结果：观察组喉头水肿症状（声嘶或喘鸣）持续时间与对照组比较均有缩短,差异均有统计学意义（P〈0.05）。结论：对PICU病房危重症患儿气管插管拔管后进行集束化护理干预,能有效减轻危重症患儿气管插管拔管后喉头水肿的症状。Objective： To investigate the efficacy of Bundle care critically ill chiildren with endotracheal intubation in front of or after pull out. Methods： 42 sick children in pediatric PICU with endotracheal intubation artificial were randomly divided into the control group（ 21 cases） and the observation group（ 21 cases）. The control group received routine care,on this basis the observation group was given bundle care intervention. The time of laryngeal edema was observed in two groups. Results： The time of laryngeal edema lasted was shorter in the observation group compared with the control group. Comparing with the control group. Conclusion： Bundle care of critically ill chiildren with endotracheal intubation in front of or after pull out could effectively reduce the symotoms of laryngeal edema.

关 键 词：集束化护理 气管插管 喉头水肿 

分 类 号：R473.72[医药卫生—护理学]