多频振动排痰仪联合专项呼吸道护理在ICU机械通气患者中的应用价值  

Application Value of Multi-frequency Vibration Sputum Discharge Instrument Combined with Specialized Respiratory Care in ICU Mechanical Ventilation Patients

作　　者：林艳萍[1] 林兰[1] 黄梅英[1] 梁晓燕 LIN Yanping;LIN Lan;HUANG Meiying;LIANG Xiaoyan(The Second People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine,Fuzhou 350003,China;不详)

机构地区：[1]福建中医药大学附属第二人民医院,福建福州350003

出　　处：《中外医学研究》2023年第18期101-104,共4页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:探讨多频振动排痰仪联合专项呼吸道护理在重症监护室(ICU)机械通气患者中的应用价值。方法:选取2020年6月—2022年6月福建中医药大学附属第二人民医院ICU收治的110例脑梗死行机械通气的患者为研究对象,按随机数表法将其分为对照组与观察组,各55例。对照组采用多频振动排痰仪排痰联合常规护理,观察组在对照组基础上增加呼吸道专项护理。比较两组干预后1 d、3 d、5 d、7 d的排痰量,比较两组干预前、干预7 d后的呼吸指数(RI)及肺泡-动脉血氧分压差[P(A-a)O_(2)]及干预7 d后肺部感染发生情况、机械通气时间。结果:干预后3 d、5 d、7 d,观察组的排痰量均多于对照组,差异有统计学意义(P<0.05)。干预7 d后,两组RI及P(A-a)O_(2)均低于干预前,且观察组的RI及P(A-a)O_(2)均低于对照组,差异有统计学意义(P<0.05)。干预7 d后,观察组的临床肺部感染评分(CPIS)、呼吸机相关性肺炎(VAP)发生率均低于对照组,差异有统计学意义(P<0.05)。观察组机械通气时间短于对照组,差异有统计学意义(P<0.05)。结论:多频振动排痰仪联合呼吸道专项护理应用于ICU机械通气患者,可提高排痰量,降低RI及P(A-a)O_(2),降低CPIS评分和VAP发生率,缩短机械通气时间。Objective:To explore the application value of multi-frequency vibration sputum discharge instrument combined with specialized respiratory care in mechanical ventilated patients in the Intensive Care Unit(ICU).Method:A total of 110 patients with cerebral infarction who underwent mechanical ventilation in the ICU of the Second People's Hospital Affiliated to Fujian University of Traditional Chinese Medicine from June 2020 to June 2022 were selected as the research subjects.They were randomly divided into control group and observation group according to random number table,with 55 patients in each group.The control group was treated with multi-frequency vibration sputum discharge instrument combined with routine care,while the observation group received specialized respiratory care in addition to the control group.The sputum output at 1 d,3 d,5 d and 7 d after intervention were compared;and respiratory index(RI)and alveolar arterial partial pressure of oxygen[P(A-a)O_(2)]before and after the intervention were compared between the two groups,as well as the incidence of pulmonary infection at 7 d after intervention and the duration of mechanical ventilation.Result:At 3 d,5 d and 7 d after intervention,the sputum output of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).After 7 d of intervention,the RI and P(A-a)O_(2)levels in both groups were lower than those before intervention,and the RI and P(A-a)O_(2)levels in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).After 7 d of intervention,the clinical pulmonary infection score(CPIS)and ventilator associated pneumonia(VAP)of the observation group were lower than those of the control group,the differences were statistically significant(P<0.05).The mechanical ventilation time of the observation group was shorter than that of the control group,and the difference was statistically significant(P<0.05).Conclusion:The combination o

关 键 词：多频振动排痰仪 专项呼吸道护理 重症监护室 机械通气 

分 类 号：R472.2[医药卫生—急诊医学]