可视喉镜在TICU患者气道护理中的应用  

Application of visual laryngoscope in airway nursing of TICU patients

作　　者：邵迪群 严峰[2] 杨建兵[2] SHAO Diqun;YAN Feng;YANG Jianbing(Department of Traumatology, Yuyao People＇s Hospital in Zhejiang Province, Yuyao 315400, China;Department of Anesthesiology, Yuyao People＇s Hospital in Zhejiang Province, Yuyao 315400, China)

机构地区：[1]浙江省余姚市人民医院创伤科,浙江余姚315400 [2]浙江省余姚市人民医院麻醉科,浙江余姚315400

出　　处：《中国现代医生》2017年第30期149-152,共4页China Modern Doctor

基　　金：浙江省医药卫生科技计划项目(2017ZH014)

摘　　要：目的探讨使用可视喉镜吸痰在创伤加强监护病房(TICU)患者中的应用价值。方法将2016年8月~2017年5月入住TICU的排痰受限患者102例随机分为可视喉镜下吸痰组(A组)51例,常规吸痰组(B组)51例,分别给予可视喉镜可视下吸痰及常规方法吸痰。观察记录两组患者入住TICU后7 d内人工开放气道率(气管插管或气切)、肺部感染率、人工开放气道前吸痰率、口鼻咽出血并发症发生率等。结果 A组7 d内人工开放气道率(气切或气管插管)、肺部感染发生率、人工气道在开放前吸痰率、口鼻咽喉部位出血发生率均低于B组,组间比较,差异有统计学意义(P<0.05)。结论可视喉镜在对TICU患者排痰受限气道护理中痰液清除效率较常规吸痰方法更为有效。Objective To explore the application value of visual laryngoscopy in patients of traumatic intensive care u- nit （TICU）. Methods A total of 102 patients with limited expectoration who were admitted in TCIU from August 2016 to May 2017 were randomly divided into suction under visual laryngoscopy group（group A, n=51） and conventional suction group（group B, n=51）. The group A and group B was given suction under visual laryngoscope and conventional methods of suction, respectively. The artificially airway opening rate（tracheal intubation or pneumothorax）, lung infection rate, aspiration rate before opening artificial airway, and the incidence of nasopharyngeal hemorrhage complications of the two groups were recorded within 7 days after admission to TICU. Results The artificially airway opening rate （tracheal intubation or pneumothorax）, lung infection rate, aspiration rate before opening artificial airway, and the incidence of nasopharyngeal hemorrhage complications within 7 days of the group A were lower than those of the group B, and there was significant difference between two groups（P〈0.05）. Conclusion The efficacy of visible laryngoscopy in the removal of sputum in TICU patients with expectoration and limited airway is more effective than conventional suction method.

关 键 词：可视喉镜 气道护理 吸痰 肺部感染 

分 类 号：R473[医药卫生—护理学]