密闭式吸痰与开放式吸痰治疗机械通气患者有效性及安全性对比  

Comparison of the efficacy and safety of closed and open suction in patients with mechanical ventilation

作　　者：赵雪 Zhao Xue(Tianjin Medical University Second Hospital,Tianjin 300211,China)

机构地区：[1]天津医科大学第二医院,天津300211

出　　处：《首都食品与医药》2023年第21期43-45,共3页Capital Food Medicine

摘　　要：目的探讨密闭式吸痰与开放式吸痰治疗机械通气患者的有效性及安全性.方法选取2021年5月-2023年5月天津医科大学第二医院收治的60例机械通气患者为研究对象,按照随机数字表法将其分为对照组和干预组,每组各30例,对照组采用开放式吸痰管吸痰,干预组采用密闭式吸痰器吸痰,比较两组体征指标、血气指标、吸痰量、不良事件发生率和总治疗效果.结果干预组血气指标、体征指标均优于对照组,干预组吸痰量远多于对照组,干预组不良事件发生率远低于对照组,干预组总治疗效果高于对照组,P<0.05,差异均有统计学意义.结论与开放式吸痰管吸痰相比,密闭式吸痰治疗机械通气患者更能有效促进通气指标改善,提高治疗有效性.Objective To compare the efficacy and safety of closed and open sputum aspiration in the treatment of patients with mechanical ventilation.Methods A total of 60 patients with mechanical ventilation from May 2021 to May 2023 were randomly divided into two groups:control group(n=30)and intervention group(n=30),the control group used an open suction tube for sputum suction,the patients in the intervention group were treated with closed sputum suction device.The physical signs,blood gas,sputum suction volume,the incidence of complications and the total therapeutic effect were compared between the two groups.Results The indexes of Blood Gas and physical sign in the intervention group were better than those in the control group,the amount of sputum aspiration in the intervention group was much more than that in the control group,incidence of adverse events in the intervention group was much lower than that in the control group,and the total therapeutic effect in the intervention group was higher than that in the control group,P<0.05,the difference was statistically significant.Conclusion Closed sputum suction is more effective than open sputum suction in the treatment of patients with mechanical ventilation to promote the improvement of ventilation indicators and improve the effectiveness of treatment.

关 键 词：密闭式吸痰器 开放式吸痰管 机械通气 

分 类 号：R563.8[医药卫生—呼吸系统]