摘要
目的:探讨膨肺吸痰法在机械通气治疗中的应用和影响。方法:将82例患者随机分为试验组和对照组。试验组采用膨肺吸痰法,对照组采用常规吸痰法,观察两组吸痰前后生命体征及血气分析值、并记录两组的机械通气时间和肺不张的发生率。结果:试验组吸痰前后动脉血氧分压、动脉血氧饱和度和二氧化碳分压比较,差异有统计学意义(P<0.05),吸痰效果及并发症发生率明显优于对照组(P<0.05)。结论:膨肺吸痰法是一种有效和安全的气管内吸痰方式能改善机械通气患者吸痰时的低氧状况,并能缩短机械通气时间,降低肺不张发生率。
Objective: To investigate the ap- plication and impact of the expansion pulmonary suction in the treatment of mechani- cal ventilation. Methods: 82 patients were randomly divided into experimental and control groups. The observation group uses swelling lung suction method, the control group uses conventional suction method,observe the vital signs and blood gas analysis values before and after the two groups of patients with suction and record the two groups of mechanical ventilation and atelectasis in- cidence. Results: The control group suctioning before and after blood pressure, arterial oxygen saturation and carbon dioxide partial pressure compared to the difference was statistically significant( P 〈 0. 05 ), the suction effect and incidence of complications than the control group ( P 〈 0. 05 ). Conclusion : Lung Inflation suction method is an effective and safe endotracheal suctioning way to improve the mechanical ventilation in patients with suction hypoxic conditions, and can shorten the duration of mechanical ventilation,reduce atelectasis rate.
关键词
膨肺吸痰
机械通气
护理
肺不张
expansion pulmonary suction
me-chanical rentilation
nursing
atelectasis.