不同体位排痰对缩短神经外科患者气管套管留置时间的影响  

Different position row of phlegm for decreasing the time of neurosurgery patients with tracheotomy lien impact study

作　　者：王耀娟 周松茂[1] 施景芳 朱美琴[1] 张莉莉 顾志英[1] Wang Yaojuan;Zhou Songmao;Shi Jingfang;Zhu Meiqin;Zhang Lili;Gu Zhiying(Department of Neurosurgery,Haimen People＇s Hospital,Jiangsu Province,Haimen 226100,China)

机构地区：[1]江苏省海门市人民医院神经外科,226100

出　　处：《中国实用护理杂志》2018年第23期1788-1791,共4页Chinese Journal of Practical Nursing

基　　金：海门市科技局项目（2015ssF08）

摘　　要：目的探讨坐位排痰与侧卧位排痰对神经外科气管切开患者气管套管留置时间的影响。方法将120例神经外科气管切开并发肺部感染的住院患者采用随机数字表法分为试验组58例，对照组62例，2组患者排痰前均予胸背部联合叩击，试验组叩击后采取坐位进行有效咳嗽或诱发咳嗽；对照组叩击后采取侧卧位进行有效咳嗽或诱发咳嗽，观察2组患者实施体位排痰1周内的每日排痰量；观察2组患者实施体位排痰后体温恢复正常时间、肺部听诊显效时间、气管套管留置时间。结果试验组患者实施体位排痰第1、2、3、4、5、6、7天每日排痰量分别为（44．84±6．85）、（44．60±6．80）、（43．79±5．98）、（44．38±5．42）、（42．22±5．45）、（38．12±4．77）、（36．88±4．57）ml，对照组分别为（36．13±7．34）、（35．15±7．34）、（36．13±7．34）、（37．13±7．34）、（37．13±7．34）、（32．97±7．17）、（31．35±4．36）ml，2组比较差异均有统计学意义（t=4．30-7.31，P〈0．01）。试验组患者实施体位排痰后体温恢复正常时间、肺部听诊显效时间、气管套管留置时间分别为（9．93±2．02）、（32．33±1．50）、（37．33±1．50）d，对照组分别为（15．77±1．05）、（37．63±2．33）、（42．63±2．33）d，2组比较差异均有统计学意义（t=20．04、14．71、14．71，P〈0．01）。结论坐位排痰对缩短神经外科患者气管套管留置时间效果优于侧卧位排痰。Objective To explore the effect of sitting and lateral sputum aspiration on the retention time of tracheal cannula in patients with neurosurgical tracheotomy. Methods Totally 120 cases of neurosurgery tracheotomy in hospitalized patients complicated with pulmonary infection by random number table method, 58 cases were divided into experimental group and control group 62 examples, two groups of patients with sputum top all joint taps to the back of the chest, the experimental group after taps take seat effectively causes cough; In the control group, the lateral position was used to effectively cough or induce cough, and the daily sputum volume of the two groups of patients was observed. To observe the time when the body temperature was restored to normal after the phlegm of the two groups of patients, the time of the lung auscultation, and the time of the tracheal tube retention. Results Implementing position row of phlegm daily sputum volume within a week the experimental group were （44.84±6.85） ml, （44.60±6.80） ml, （43.79±5.98） ml, （44.38±5.42） ml, （42.22±5.45） ml, （38.12±4.77） ml, （36.88±4.57） ml and control group were（36.13±7.34） ml, （35.15±7.34） ml, （36.13±7.34） ml, （37.13±7.34） ml, （37.13±7.34） ml, （32.97±7.17） ml, （31.35±4.36） ml, the difference had statistical significance （t=4.30-7.31, P〈O.O1）; In the two groups, the time of normal body temperature recovery, the time of hearing and the time of the lung and the time spent in the tracheal tube were compared, and the experimental group were respectively （9.93±2.02） d, （32.33±1.50） d, （37.33±1.50） d, while control group were（15.77±l.05） d, （37.63±2.33） d, （42.63±2.33） d, the difference had statistical significance （t=20.04, 14.71, P〈0.01）. Conclusions It is better to reduce the retention time of tracheal tube in patients with neurosurgical patients than the lateral position.

关 键 词：坐位排痰 侧卧位排痰 神经外科 气管套管 留置时间 

分 类 号：R473.6[医药卫生—护理学]