呼吸道护理干预在气管插管危重症患者中的临床应用  

Clinical Application of Respiratory Nursing Intervention in Critically Ill Patients with Endotracheal Intubation

作　　者：尚俊梅[1] 张香军[1] SHANG Jun-mei;ZHANG Xiang-jun(Department of Critical Care Medicine,The Yellow River Sanmenxia Hospital,Sanmenxia,Henan,472000,China)

机构地区：[1]黄河三门峡医院重症医学科,河南三门峡472000

出　　处：《黑龙江医学》2022年第4期487-489,共3页Heilongjiang Medical Journal

基　　金：河南省医学科技攻关计划项目(201602091)。

摘　　要：目的:探讨呼吸道护理干预在气管插管危重症患者中的临床应用效果。方法:选择2019年1月—2020年10月黄河三门峡医院收治的100例气管插管危重症患者作为研究对象,按随机数表法分为对照组与观察组,每组各50例。对照组采用常规护理干预,观察组采用呼吸道护理干预,两组患者均干预至出院。对比分析两组患者血气指标、气管插管时间、重症监护时间、住院时间及并发症发生率。结果:干预前,两组患者动脉血氧分压(PaO_(2))、动脉氢离子浓度(pH)比较,差异无统计学意义(t=0.080、1.112,P>0.05);干预后,观察组PaO_(2)、pH值分别为(92.66±4.24)mmHg、(7.77±0.14),高于对照组的(88.64±3.37)mmHg、(7.53±0.08),差异有统计学意义(t=5.248,10.525,P<0.05);观察组气管插管时间、重症监护时间、住院时间分别为(2.37±0.54)d、(4.34±0.87)d、(8.68±1.62)d,短于对照组的(4.86±1.12)d、(7.38±1.49)d、(12.69±2.78)d,差异有统计学意义(t=14.161、2.459、8.123,P<0.05);观察组并发症发生率为4.00%,低于对照组的22.00%,差异有统计学意义(χ^(2)=7.162,P<0.05)。结论:呼吸道护理干预能够调节气管插管危重症患者血气指标,缩短临床救治时间,减少并发症,促进患者尽快恢复。Objective:To explore the clinical application effect of respiratory nursing intervention in critically ill patients with endotracheal intubation.Methods:100 cases of critically ill patients with endotracheal intubation in the hospital from January 2019 to October 2020 were selected and randomly divided into two groups,with 50 cases in each group.The control group was given routine nursing intervention,and the observation group was given respiratory nursing intervention.The blood gas index,tracheal intubation time,intensive care time,hospitalization time and complication rate of the two groups were compared and analyzed.Results:Before intervention,there was no statistically significant difference in PaO_(2)and pH between the two groups(t=0.080,1.112,P>0.05).After the intervention,the PaO_(2)and pH values of the observation group were(92.66±4.24)mmHg and(7.77±0.14),respectively,which were higher than(88.64±3.37)mmHg and(7.53±0.08)of the control group,and the difference was statistically significant(t=5.248,10.525,P<0.05).The duration of tracheal intubation,intensive care and hospital stay in the observation group were(2.37±0.54)d,(4.34±0.87)d,(8.68±1.62)d,respectively,which were shorter than(4.86±1.12)d,(7.38±1.49)d,(12.69±2.78)d in the control group,the difference was statistically significant(t=14.161,2.459,8.123,P<0.05).The incidence of complications in the observation group was 4.00%,lower than 22.00%in the control group,and the difference was statistically significant(χ^(2)=7.162,P<0.05).Conclusion:Respiratory care intervention can regulate the blood gas indexes of critically ill patients with endotracheal intubation,shorten the clinical treatment time,reduce complications,and promote the recovery of patients as soon as possible.

关 键 词：气管插管危重症 呼吸道护理干预 并发症 血气指标 气管插管时间 

分 类 号：R473.56[医药卫生—护理学]