重型颅脑损伤机械通气患者的不同排痰方法效果比较  

Comparison of different expectoration methods in treatment of severe craniocerebral injury patients with mechanical ventilation

作　　者：吴琼 王慧琴 赵宏芳 WU Qiong;WANG Huiqin;ZHAO Hongfang(Intensive Care Unit,Yizheng People′s Hospital,Yangzhou,Jiangsu,211400)

机构地区：[1]江苏省仪征市人民医院重症监护室,江苏扬州211400

出　　处：《实用临床医药杂志》2020年第5期79-81,共3页Journal of Clinical Medicine in Practice

摘　　要：目的比较手持式体外振动排痰法与高频震荡排痰法在重型颅脑损伤(SHI)患者中的应用效果。方法选取SHI机械通气患者42例,每天进行辅助排痰3次。随机分为体外振动排痰组、高频胸壁震荡排痰组。比较2组排痰前后收缩压、心率以及排痰量。结果 2组患者排痰后的生命体征指标较排痰前显著改善,且高频胸壁震荡排痰组排痰后的心率、收缩压显著低于体外振动排痰组(P <0. 05)。体外振动排痰组排痰的痰液量为(5. 56±2. 45) m L,显著少于高频胸壁震荡排痰组的(6. 23±3. 12) m L(P <0. 05)。结论高频胸壁震荡排痰法对SHI机械通气患者生命体征的影响更小,排痰作用较好,可操作性高,临床应用较为安全。Objective To compare the effect of hand-held vibration expectoration in vitro and high-frequency vibration expectoration in treatment of severe head injury(SHI)patients with mechanical ventilation.Methods Totally 42 SHI patients with mechanical ventilation were selected and treated with auxiliary expectoration three times per day.They were randomly divided into vibration expectoration in vitro group and high-frequency vibration expectoration group.Systolic blood pressure,heart rate and expectoration volume were compared before and after expectoration between two groups.Results The vital signs in both groups were significantly improved after expectoration,and the heart rate and systolic blood pressure of the high-frequency vibration expectoration group were significantly lower than those of vibration expectoration in vitro group(P<0.05).The amount of sputum in vibration expectoration in vitro group was(5.56±2.45)m L,which was significantly lower than(6.23±3.12)m L in the high-frequency vibration expectoration group(P<0.05).Conclusion High-frequency vibration expectoration group has less influence on vital signs of SHI patients with mechanical ventilation,and its clinical application shows better expectoration effect,high operability and safety.

关 键 词：颅脑损伤 机械通气 痰液 生命体征 

分 类 号：R651.1[医药卫生—外科学]