床头抬高角度对PICU机械通气患儿呼吸机相关性肺炎的影响  

Influence of Bedside Elevation Angle on Incidence of Ventilator Associated Pneumonia in Children with Mechanical Ventilation of PICU

作　　者：耿利娟[1] 芦鸿雁 俞艳 闫丽红 GENG Lijuan;LU Hongyan;YU Yan;YAN Lihong(General Hospital of Ningxia Medical University PICU,Yinchuan 750004,China;Department of Nursing,the General Hospital of Ningxia Medical University,Yinchuan 750004,China)

机构地区：[1]宁夏医科大学总医院PICU,银川750004 [2]宁夏医科大学总医院护理部,银川750004

出　　处：《宁夏医科大学学报》2021年第8期802-805,共4页Journal of Ningxia Medical University

基　　金：宁夏医科大学科学研究基金资助项目(XM2018123)。

摘　　要：目的探讨床头抬高角度对PICU机械通气患儿呼吸机相关性肺炎的影响,旨在为临床护理工作提供客观依据。方法将2018年9月至2019年12月宁夏医科大学总医院PICU机械通气的176例患儿作为研究对象,采用随机数字表法分为观察组(92例)和对照组(84例)。观察组床头抬高20°,对照组床头抬高30°,其余预防呼吸机相关性肺炎发生的措施一致,比较两组患儿呼吸机相关性肺炎及镇静不足发生率。结果观察组患儿呼吸机相关性肺炎的发生率与对照组差异无统计学意义(P>0.05),镇静不足发生率观察组低于对照组(P<0.05)。结论床头抬高20°是机械通气儿童合适的床头抬高角度,在预防呼吸机相关性肺炎的同时保证了镇静效果,使患儿的身体不适和疼痛最小化,值得临床推广使用。Objective To explore the influence of the head elevation angle on respiratory pneumonia in children with PICU mechanical ventilation,in order to provide objective basis for clinical nursing work.Methods A total of 176 children with PICU mechanical ventilation in general hospital of Ningxia Medical University from September 2018 to December 2019 were divided into observation group(92 cases)and control group(84 cases)by random number table method.The head of bed elevation was 20°in the observation group and 30°in the control group,and the other measures to prevent ventilator associated pneumonia were the same.The incidence of ventilator associated pneumonia and insufficient sedation were compared between the two groups.Results There was no statistical difference between the observation group and the control group in the incidence of ventilator associated pneumonia(P>0.05),and the incidence of hyposedation was significantly lower than that of the control group(P<0.05).Conclusion Head elevation of 20°is an appropriate head elevation angle for mechanically ventilated children,which ensures sedative effect while preventing VAP and minimizes physical discomfort and pain in children.It is worthy of clinical promotion and application.

关 键 词：呼吸机相关性肺炎 儿童 机械通气 床头抬高角度 

分 类 号：R725.6[医药卫生—儿科] R473.72[医药卫生—临床医学]