摘要
目的探讨封闭式吸痰结合肺复张术在呼气末正压通气中应用的效果。方法将60例呼气末正压通气患者按疾病平均分成对照组和观察组各30例,对照组使用传统吸痰方法,观察组使用封闭式吸痰并结合肺复张术。观察两组肺不张、肺部感染、痰培养阳性率及吸痰前后心率和氧饱和度变化。结果观察组肺不张、肺部感染、痰培养阳性发生率低于对照组,差异具有统计学意义,吸痰前后观察组心率和氧饱和度无显著变化。结论呼气末正压通气患者使用封闭式吸痰并结合肺复张术,能减少并发症的发生。
Objective To explore the effect of closing sputum aspiration combined with lung recruitment maneuver applied in positive end-expiratory pressure （PEEP）. Method Divide 60 patients undergoing PEEP into observation group and control group randomly. Patients in control group receive routine sputum aspiration. Patients in observation group receive closing sputum aspiration combined with lung recruitment maneuver. Observe the atelectasis, pulmonary infection, positive result of sputum culture and the changes on heart rate and oxygen saturation pre and post sputum aspiration. Result The rate of atelectasis, pulmonary infection and positive result of sputum culture in observation group is lower than the rate of control group. The difference is significant. There is no obvious change on heart rate and oxygen saturation pre and post sputum aspiration. Conclusion Closing sputum aspiration combined with lung recruitment maneuver applied in PEEP can reduce the rate of complications.
出处
《护理与康复》
2009年第10期815-816,819,共3页
Journal of Nursing and Rehabilitation
关键词
呼气末正压通气
封闭式吸痰
肺复张术
效果
Positive end-expiratory pressure
Closing sputum aspiration
Lung recruitment maneuver
Effect
