改良浅层吸痰法在人工气道吸痰患者护理中的应用效果  

Application effect of improved shallow sputum aspiration method in nursing of patients with artificial airway sputum aspiration

作　　者：徐莉[1] 徐琳 XU Li;XU Lin

机构地区：[1]山东大学齐鲁医院急诊监护室,济南市250012 [2]山东大学第二医院口腔科

出　　处：《护理实践与研究》2020年第12期142-143,共2页Nursing Practice and Research

摘　　要：目的探讨改良浅层吸痰法在人工气道吸痰患者护理中的应用效果。方法选取2013年4月至2017年1月间我院急诊重症监护室(EICU)收治的人工气道吸痰患者180例为研究对象,随机将其等分为观察组和对照组,对照组采用传统吸痰方法,观察组采用改良浅层吸痰法,比较两组吸痰前后的心率(HR)、血氧饱和度(SPO 2)、呼吸频率参数(R)、潮气量(VT)、平均气道压(Pmean)以及吸痰后的并发症发生情况。结果吸痰后,观察组SPO 2高于对照组,HR,R,VT、Pmean的水平及吸痰后并发症发生率均低于对照组(P<0.05)。结论改良浅层吸痰法可降低对人工气道的损伤,提高人工气道吸痰的治疗效果,减轻对气道的刺激,避免并发症的发生,值得临床推广应用。Objective To explore the application effect of improved shallow sputum aspiration method in nursing of patients with artificial airway sputum aspiration.Methods To select 180 cases of patients with artificial airway sputum aspiration from April 2013 to January 2017 in emergency intensive care unit(EICU)of our hospital as the study objects,and they were randomly divided into an observation group and a control group.The control group used traditional sputum aspiration method,and the observation group adopted improved shallow sputum aspiration method to compare the heart rate(HR),oxygen saturation(SPO 2),respiratory rate(R),tidal volume(VT),mean airway pressure(Pmean)before and after sputum aspiration and complications after sputum aspiration.Results After sputum aspiration,the SPO 2 in the observation group was higher than that in the control group,and the HR,R,VT,Pmean levels and incidence of complications after sputum aspiration were lower than those in the control group(P<0.05).Conclusion The application of the improved shallow sputum aspiration method can reduce the damage to the artificial airway,improve the therapeutic effect of artificial airway sputum aspiration,reduce the stimulation of the airway,and avoid the occurrence of complications.It was worthy of clinical promotion and application.

关 键 词：人工气道护理 改良浅层吸痰法 应用效果 

分 类 号：R473.56[医药卫生—护理学]