稀释性吸痰技术在危重症患儿气管插管护理中的应用  

Application of Diluent sputum aspiration techniques in nursing care of tracheal intubation in critically ill children

作　　者：徐娜 王艳 袁甜甜 李娟 Xu Na;Wang Yan;Yuan Tiantian;Li Juan(Department of Pediatrics,Ankang Hospital of Traditional Chinese Medicine,Ankang 725000,China)

机构地区：[1]安康市中医医院儿科,安康725000

出　　处：《国际护理学杂志》2024年第16期3029-3033,共5页international journal of nursing

基　　金：安康市中医医院科技发展孵化基金项目(202213)。

摘　　要：目的探究稀释性(Diluent)吸痰技术对危重症气管插管患儿的影响。方法选取安康市中医医院在2020年10月至2023年10月期间儿科接收的60例危重症患儿作为观察对象,随机分为对照组和干预组,对照组30例实施常规气管插管护理措施。干预组30例联合实施稀释性(Diluent)吸痰技术插管护理措施,于干预前、干预7 d后,对两组患儿临床指标、口腔健康状态、并发症及重新气管插管等指标进行对比分析。结果干预组,患儿在有效气管插管平均留置时间高于对照组,PICU居住时间、平均住院时间短于对照组,血氧饱和度高于对照组,差异均有统计学意义(均P<0.05);干预前,两组患儿口腔评分情况比较差异无统计学意义(P>0.05);干预7 d后,干预组患儿在牙龈和口腔黏膜、唾液、舌头、口唇、牙齿等口腔评分低于对照组,差异均有统计学意义(均P<0.05);干预组患儿在口腔溃疡、导管相关性肺炎、舌后坠、呼吸道肉芽肿等并发症发生及重新气管插管率低于对照组,差异均有统计学意义(均P<0.05)。结论稀释性吸痰技术气管插管护理措施有效改善患儿临床各项指标,提高口腔健康,降低并发症与重新气管插管。ObjectiveTo study the effects of Diluent sputum aspiration techniques on critically ill children with tracheal intubation.MethodsA total of 60 critically ill children admitted to the pediatrics department of Ankang Hospital of Traditional Chinese Medicine from October 2020 to October 2023 were selected as observation subjects,and were randomly divided into control group and intervention group,30 cases of each group.The control group received conventional tracheal intubation nursing measures,and the intervention group received Diluent sputum suction technology intubation nursing measures.Before intervention and 7 days after intervention,the clinical indicators,oral health status,complications and re-intubation of the two groups were compared and analyzed.ResultsIn the intervention group,the average indwelling time of effective tracheal intubation was higher than that of the control group,the length of PICU residence and the average length of hospital stay were shorter than those of the control group,and the blood oxygen saturation was higher than that of the control group,and the differences were statistically significant(P<0.05).Before intervention,there was no significant difference in oral scores between the two groups(P>0.05).After 7 days of intervention,the oral scores of the intervention group were lower than those of the control group,such as gingiva and oral mucosa,saliva,tongue,lips,and teeth,and the differences were statistically significant(P<0.05).The incidence of oral ulcer,catheter-associated pneumonia,tongue falling,respiratory granuloma and other complications and re-intubation rate in the intervention group were lower than those in the control group,and the differences were statistically significant(P<0.05).ConclusionsThe nursing measures of endotracheal intubation with diluted sputum suction technique can effectively improve the clinical indicators of children,improve oral health,reduce complications and re-intubation.

关 键 词：危重症患儿 稀释性吸痰技术 气管插管护理 口腔健康 并发症 重新气管插管 

分 类 号：R473.72[医药卫生—护理学]