分级救护气道管理模式对烟雾吸入性损伤患者的应用价值研究  

Application value of graded rescue airway management mode in patients with smoke inhalation injury

作　　者：洪珊珊 庄端端 沈晓娜 金润女 韩延泽 HONG Shanshan;ZHUANG Duanduan;SHEN Xiaona;JIN Runnyu;HAN Yanze(Nursing Department,Joint Logistics Support Force No.910 Hospital,Quanzhou,Fujian 362000,China;Department of Respiratory Medicine,Joint Logistics Support Force No.910 Hospital,Quanzhou,Fujian 362000,China;Department of Neurology,Joint Logistics Support Force No.910 Hospital,Quanzhou,Fujian 362000,China)

机构地区：[1]联勤保障部队第九一〇医院护理部,福建泉州362000 [2]联勤保障部队第九一〇医院呼吸内科,福建泉州362000 [3]联勤保障部队第九一〇医院神经内科,福建泉州362000

出　　处：《现代医药卫生》2022年第18期3095-3098,3104,共5页Journal of Modern Medicine & Health

基　　金：福建省泉州市科学技术局科技计划项目(2017Z019)。

摘　　要：目的 研究分级救护气道管理模式对烟雾吸入性损伤患者的应用价值。方法 选取2016年8月至2018年8月该院烟雾吸入性损伤患者40例作为对照组,选取2018年9月至2020年8月烟雾吸入性损伤患者40例作为观察组。对照组患者采取常规气道管理,观察组患者采取分级救护气道管理模式,比较2组干预前后肺功能指标、心理状态评分、生活质量评分。结果 2组患者干预后第1秒用力呼气容积(FEV1)、用力肺活量(FVC)、FEV1/FVC、FEV1占预计值百分比(FEV1%pred)均显著高于干预前,且观察组患者干预后上述各项指标显著高于同期对照组,差异均有统计学意义(P<0.05)。2组患者干预后焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均显著低于干预前,且观察组患者干预后SAS、SDS评分显著低于同期对照组,差异均有统计学意义(P<0.05)。2组患者干预后总体健康、精神健康、生理功能、生理职能、情感职能、社会职能、躯体疼痛、精力情况评分均显著高于干预前,且观察组干预后上述各项评分均显著高于同期对照组,差异均有统计学意义(P<0.05)。结论 采用分级气道管理救护模式能够明显改善烟雾吸入性损伤患者的肺功能、心理状态和生活质量。Objective To study the application value of graded rescue airway management model for smoke inhalation injury patients.Methods A total of 40 patients with smoke inhalation injury in the hospital from August 2016 to August 2018 were selected as the control group,and 40 patients with smoke inhalation injury from September 2018 to August 2020 were selected as the observation group.The patients in the control group were given the routine airway management,while the patients in the observation group were given a graded rescue airway management model.The score of lung function,psychological state and quality of life were compared.Results After the intervention,forced expiratory volume in 1 second(FEV1),forced vital capacity(FVC),FEV1/FVC,and FEV1 as a percentage of predicted value(FEV1%pred) in both groups were significantly higher than those before the intervention,and the above indexes in the observation group after the intervention were significantly higher than those in the control group at the same time,with statistical significance(P<0.05).The score of Self-rating anxiety scale(SAS),self-rating depression scale(SDS) of the two groups after the intervention were significantly lower than those before the intervention,and the SAS and SDS scores of the observation group after the intervention were significantly lower than those of the control group at the same period,with statistical significance(P<0.05).The scores of overall health,mental health,physiological function,physiological function,emotional function,social function,somatic pain and energy of the patients in the two groups after the intervention were significantly higher than those before the intervention.After the intervention,the above scores in the observation group were significantly higher than those in the control group at the same period,and the differences were statistically significant(P<0.05).Conclusion The use of graded airway management rescue mode can significantly improve the lung function,psychological state and quality of life of patients wi

关 键 词：分级救护模式 烟雾吸入性损伤 气道管理 肺功能 生活质量 

分 类 号：R473[医药卫生—护理学]