膨肺联合呼气相挤压胸廓法在格林-巴利综合征机械通气患者中的应用  

Application of manual hyperinflation with thoracic squeeze technique in patients with Guillain-Barre syndrome undergoing mechanical ventilation

作　　者：崔少帅 袁聪 王靓 李丹 王海播 CUI Shaoshuai;YUAN Cong;WANG Liang;LI Dan;WANG Haibo(Respiratory Intensive Care Unit,Henan Provincial People′s Hospital(People′s Hospital of Zhengzhou University),Zhengzhou 450003,China)

机构地区：[1]河南省人民医院(郑州大学人民医院)呼吸重症监护病房,郑州450003

出　　处：《中国临床护理》2020年第5期401-404,共4页Chinese Clinical Nursing

基　　金：河南省医学教育研究课题(编号:Wjlx2019089)。

摘　　要：目的探讨膨肺联合呼气相挤压胸廓法(manual hyperinflation with thoracic squeeze technique,MHTST)在格林-巴利综合征机械通气患者中的应用效果。方法选取2015年10月-2018年10月我院呼吸重症监护病房中的15例行机械通气的格林-巴利综合征患者,采用随机交叉试验对研究对象进行MHTST、膨肺(manual hyperinflation,MH)排痰,比较实施2种排痰法后患者的收缩压、舒张压、心率、血氧饱和度、潮气量、平台压、静态顺应性、痰液排出量。结果实施2种排痰法后患者的血流动力学和呼吸力学指标比较,差异均无统计学意义(P>0.05),实施MHTST后患者平均排痰量高于MH法(t=-7.965,P<0.001)。结论对于机械通气支持的格林-巴利综合征患者,MHTST和MH排痰法对血流动力学及呼吸力学的影响相似,但MHTST的排痰法效果优于MH法。Objective To explore the effect of manual hyperinflation with thoracic squeeze technique(MHTST)on ICU patients with Guillain-Barre syndrome undergoing mechanical ventilation.Methods Total 15 patients with Guillain-Barre syndrome who received mechanical ventilation in the respiratory intensive care unit from October 2015 to October 2018 were selected.They were divided into 2 groups(MHTSH group&MH group)by randomized crossover test.Systolic blood pressure,diastolic blood pressure,heart rate,blood oxygen saturation,tidal volume,plateau pressure,static compliance,and sputum output were collected and analyzed from 2 groups throughout the implementation of two methods.Results There was no significant difference in hemodynamics and respiratory mechanics after the implementation between the two methods(P>0.05).The sputum output of MHTST was higher than that of MH(t=-7.965,P<0.001).Conclusion The MHTST and MH have similar effects on the hemodynamics and respiratory mechanics of the patients with Guillain-Barre syndrome who are given mechanically ventilated,but the amount of sputum output of MHTST is higher than that of the MH.

关 键 词：膨肺 挤压胸廓 排痰 机械通气 

分 类 号：R47[医药卫生—护理学]