摘要
目的:探讨盐酸氨溴索在胎粪吸入综合征(MAS)机械通气中的应用,护理方法及疗效。方法:将2011年7月-2014年12月于我科收治的MAS患儿48例随机分为观察组及对照组,观察组在常规治疗的基础上于吸痰前给予盐酸氨溴索气管内滴入,比较患儿呼吸困难缓解情况、血气指标,上机时间及并发症的发生率。结果:观察组呼吸困难缓解的时间缩短,24小时二氧化碳分压及氧浓度明显下降,气胸及呼吸机相关肺炎(VAP)发生率降低,住院时间明显缩短。结论:在机械通气中应用盐酸氨溴索气管内冲洗有助于缩短上机的时间,减少并发症及机械通气时间,具有较好的经济和社会效益。
Objective： To explore nursing and efficacy of Ambroxol on MAS. Methods： 48 cases were divided into the observed group and control group. The observed group took conventional treatment and Ambroxol before sputum aspiration. Results： In the observed group, soothing time of dyspnea was shouter; 24 hours carbon dioxide partial pressure and oxygen concentration were decreased significantly; the incidence of pneumothorax and VAP were reduced; hospitalization was significantly shortened. Conclusion： Applying endotracheal wash of Ambroxol in mechanical ventilation can shorten treating time, reduce complications and duration of mechanical ventilation, with good economic and social benefits.
出处
《中医临床研究》
2015年第34期130-131,共2页
Clinical Journal Of Chinese Medicine
