间歇式口咽通气管联合吸痰枕在非确定性人工气道中的应用  

Application of intermittent oropharyngeal airway combined with sputum suction pillow in non deterministic artificial airway

作　　者：陈玲[1] 庄红霞 王雪琪 荆晓雷 何余民 CHEN Ling;ZHUANG Hong-xia;WANG Xue-qi(The First Affiliated Hospital of USTC,University of Science and Technology of China,Hefei 230036,Anhui)

机构地区：[1]中国科学技术大学附属第一医院南区神经外科,安徽合肥230036

出　　处：《安徽卫生职业技术学院学报》2018年第6期145-146,共2页Journal of Anhui Health Vocational & Technical College

摘　　要：目的:探讨间断式口咽通气管联合吸痰枕法用于神经外科患者深部吸痰的效果。方法:选择110例神经外科尚未建立人工气道、清理呼吸道无效的患者。随机分为两组,各55例,对照组患者采用常规方法吸痰,实验组患者用间断式口咽通气管联合吸痰枕法辅助深部吸痰。结果:两组患者吸痰管进入下气道前刺激喉部的次数、吸痰操作时间、每次吸痰量、吸痰间隔时间比较,差异有统计学意义(P<0.05)。且入院后第9天实验组白细胞计数、C反应蛋白均低于对照组(P<0.05)。结论:应用间断式口咽通气管联合吸痰枕法可有效清理痰液,延长吸痰间隔时间,减少吸痰次数和黏膜出血损伤,降低气管切开率。Objective:To investigate the effect of intermittent oropharyngeal snorkel combined with suction sac in the deep suction of neurosurgical patients. Methods:110 patients who had not established artificial airway and failed to clear up respiratory tract were selected in Department of neurosurgery. They were randomly divided into two groups, 55 cases each. The control group was sucked by conventional methods. The experimental group was treated with intermittent oropharyngeal snorkel combined with suction pillow method to assist deep suction. Results:There were significant differences between the two groups in the frequency of laryngeal irritation before suction tube entered the lower airway, suction time, suction volume, suction interval(P<0.05).On the ninth day after admission, the white blood cell count and C reactive protein in the experimental group were lower than those in the control group(P<0.05).Conclusion:Intermittent oropharyngeal ventilation tube combined with sputum suction pillow can effectively remove sputum, prolong the interval of sputum suction, reduce the times of sputum suction and mucosal bleeding injury, and reduce the rate of tracheotomy.

关 键 词：口咽通气管 清理呼吸道无效 体位 吸痰 

分 类 号：R472.9[医药卫生—护理学]