摘要
[目的]总结高血压脑出血行气管切开病人吸痰前后血压的变化规律,研究不同深度吸痰对此类病人血压的影响。[方法]选取高血压脑出血术后病人51例,在术后第2天随机监测病人6次吸痰(其中深部、浅部吸痰各3次)前后血压的变化情况,总结吸痰前后此类病人血压的变化规律并对比分析深部、浅部吸痰对此类病人血压的影响。[结果]病人血压在吸痰后先增高而后逐渐恢复至吸痰前水平;深部、浅部吸痰前后病人血压的变化规律类似;病人血压在深部吸痰后5min左右恢复至吸痰前水平,在浅部吸痰后3min左右恢复至吸痰前水平;吸痰后3min内深部吸痰较浅部吸痰使病人血压增加更明显(P<0.05)。[结论]对于高血压脑出血术后病人的气道管理,吸痰会使其血压刺激性增加且深部吸痰的影响更大,在保证吸痰效果的前提下,浅部吸痰是一种更为安全的吸痰选择。
Objective:To summarize the changes of blood pressure before and after suctioning in patients with hypertensive intracerebral hemorrhage and to study the effect of different depths of aspiration on blood pressure in these patients.Methods:A total of 51 patients with hypertensive intracerebral hemorrhage were included in this study.On the day after surgery,all patients have randomly monitored the changes of blood pressure before and after 6 endotracheal suctioning(deep and shallow endotracheal suctioning 3 times respectively);the changing status of blood pressure was summarized to analysis the effect of deep and shallow endotracheal suctioning on blood pressure of these patients.Results:The blood pressure of the patients was significantly increased then recovered gradually to the level before endotracheal suctioning.The blood pressure of the patients before and after the deep and shallow aspiration was similar.The blood pressure restored in 5 min after the deep endotracheal suctioning,and in 3 min after the shallow endotracheal suctioning.Within 3 min after the endotracheal suctioning,the blood pressure of deep suctioning patients increased more specific than the patients with shallow suctioning(P<0.05).Conclusion:For patients with hypertensive intracerebral hemorrhage after airway management,suction will increase its blood pressure irritation and deep suction had a greater effect.On the basis of ensuring the effect of suction,shallow endotracheal suctioning would be a better and safer choice.
出处
《护理研究（上旬版）》
2017年第12期4361-4364,共4页
Chinese Nursing Researsh
基金
国家自然科学基金项目
编号:81371319
关键词
脑出血
高血压
吸痰
深度
护理
cerebral hemorrhage
hypertension
suction
depth
nursing
