护理干预降低人工气道痰液堵塞的应用  

Application of Nursing Intervention to Reduce Artificial Airway Sputum Blockage

作　　者：魏艾 曾毓 许敏娟 WEI Ai;ZENG Yu;XU Minjuan(Shenzhen Longhua District People’s Hospital,Shenzhen 518109,China)

机构地区：[1]广东省深圳市龙华区人民医院,广东深圳518109

出　　处：《中国医学创新》2018年第19期92-94,共3页Medical Innovation of China

基　　金：深圳市龙华区科技计划项目(20170919A1030276)

摘　　要：目的:探讨护理干预对人工气道痰液堵塞现象的改善作用。方法:选取本院2017年7-12月收治的124例建立人工气道患者,按照随机数字表法将其分为试验组和对照组,各62例。所有患者均实施心电监护、末梢动脉血氧饱和度监测,根据病情选择A/C机械辅助通气。对照组实施常规气道护理,试验组在此基础上实施护理干预。结果:试验组采用护理干预后,人工气道内痰液堵塞现象明显减轻,对照组发生痰液堵塞44例,试验组2例,两组比较差异有统计学意义(χ~2=15.262,P=0.000)。护理干预后人工气道内痰液黏稠度明显降低,对照组痰液黏稠度为Ⅰ、Ⅱ、Ⅲ度分别为4、26、32例;试验组分别为12、36、14例,差异有统计学意义(χ~2=12.656,P=0.002)。结论:护理干预对人工气道痰液堵塞现象有明显改善作用,护理干预的推广应用将大大减轻患者生理及经济负担。Objective:To explore the effect of nursing intervention on the improvement of artificial airway sputum blockage.Method:A total of 124 patients with artificial airway treated in our hospital from July 2017 to December 2017 were selected.According to the random number table method,they were divided into experimental group and control group,62 cases in each group.All patients were monitored by ECG monitoring and peripheral arterial oxygen saturation,and A/C machine assisted ventilation was selected according to the condition.The control group was performed routine airway nursing,the experimental group was performed nursing intervention on this basis.Result:After nursing intervention,the artificial airway sputum blockage in the experimental group was obviously reduced,the number of sputum blockage in the control group was 44 cases,the experimental group was 2 cases,and the number of sputum blockage between the two groups were compared,the difference was statistically significant(X2=15.262,P=0.000).After nursing intervention,the viscosity of the sputum in the artificial airway was significantly reduced,the number of sputum viscosity withⅠ,ⅡandⅢdegrees in the control group were 4,26 and 32 cases respectively;the number of people in the experimental group were 12,36 and 14 cases respectively,the difference was statistically significant(X2=12.656,P=0.002).Conclusion:Nursing intervention can significantly improve the blockage of artificial airway sputum.The popularization and application of nursing intervention will greatly reduce the physiological and economic burden of patients.

关 键 词：护理干预 人工气道 痰液堵塞 

分 类 号：R472[医药卫生—护理学]