摘要
目的探讨浅层吸痰法和常规吸痰法在患儿气管插管中的运用效果。方法选择2008年9月-2009年9月在本院NICU住院行机械通气42例患儿,随机分为观察组和对照组,每组各21例。对照组采用常规吸痰法,观察组采用浅层吸痰法。比较两组患儿吸痰后各观察指标改善情况和并发症发生的差异。结果采用浅层吸痰方法吸痰后5min观察组患儿的血氧饱和度和肺顺应性较对照组好;心率、呼吸较平稳;烦躁、气道黏膜损伤、肺出血的发生率较对照组患儿低,两组比较,均P﹤0.05,差异具有统计学意义。结论采用浅层吸痰法可有效清理气道痰液,提高患儿血氧饱和度,降低并发症的发生率。
Objective To study the effects of shallow suction and depth suction on tracheal intubation in neonates. Methods 21 neonates admitted in NICU with tracheal intubation from Sep. 2008 to Sep. 2009 were assigned as observation group,in which shallow suction was used and another 21 neonates with tracheal intubation admitted in the same period as the control group,in which depth suction was used. The improvement of observed indicators and the incidence of complications after suction were compared between the two groups. Results The observation group had better oxygen saturation and pulmonary compliance than the control group 5 min after shallow suction（P 0.05） . The control group had lower incidence of steady heart rate,respiration,agitation,airway mucosal injury and pulmonary bleeding than the observation group（P 0.05） . Conclusions Compared with depth suction,shallow suction is more effective in cleaning up respiratory secretions,raising oxygen saturation and reducing the occurrence of complications. Shallow suction is applicable to all the neonates with tracheal intubation,especially the premature infants with lower gestational age.
出处
《现代临床护理》
2010年第7期50-51,共2页
Modern Clinical Nursing
关键词
患儿
气管插管
吸痰法
neonate
tracheal intubation
suction
