1例脑出血后机械通气脱机困难合并OSAHS患者的护理实践与创新  

Nursing Practice and Innovation of a Patient with Mechanical Ventilation Weaning Difficulty and OSAHS after Cerebral Hemorrhage

作　　者：徐继环 乔建红 荆孝帅 

机构地区：[1]山东大学护理与康复学院,山东 济南 [2]山东第一医科大学口腔医学院,山东 济南 [3]山东第一医科大学第一附属医院(山东省千佛山医院)护理部,山东 济南

出　　处：《护理学》2025年第3期378-382,共5页Nursing Science

摘　　要：目的:探讨机械通气脱机困难合并阻塞性睡眠呼吸暂停低通气综合征(OSAHS)患者的综合护理策略。方法:回顾性分析1例脑出血后机械通气脱机困难合并OSAHS患者的临床资料,总结集束化肺康复护理与创新工具的应用效果。结果:通过个体化肺康复方案(膈肌起搏、腹式抗阻训练等)联合自制下颌固定工具改善呼吸形态,患者成功脱机,序贯普通氧疗后康复出院。结论:集束化肺康复措施结合呼吸形态矫正工具有效提升脱机成功率,为同类患者的护理提供实践参考。Objective: To explore the comprehensive nursing strategy for patients with mechanical ventilation weaning difficulty and obstructive sleep apnea hypopnea syndrome (OSAHS). Methods: A retrospective analysis of the clinical data of a patient with mechanical ventilation weaning difficulty and OSAHS after cerebral hemorrhage was conducted, and the application effects of bundled pulmonary rehabilitation nursing and innovative tools were summarized. Results: Through an individualized pulmonary rehabilitation program (diaphragm pacing, abdominal resistance training, etc.) combined with homemade mandibular fixation tools to improve respiratory morphology, the patient was successfully weaned and discharged after sequential ordinary oxygen therapy. Conclusion: Bundled pulmonary rehabilitation measures combined with respiratory morphology correction tools can effectively improve the success rate of weaning, and provide a practical reference for the nursing of similar patients.

关 键 词：脱机困难 OSAHS 肺康复 膈肌功能障碍 呼吸形态矫正 

分 类 号：R473.6[医药卫生—护理学]