摘要
目的探讨人工鼻对脑卒中患者气管切开术后痰液性状及并发症的影响。方法选取2018年11月—2019年12月收入医院行气管切开治疗的80例脑卒中患者为研究对象,按组间基本特征匹配原则分为对照组和观察组,每组40例。对照组实施常规护理干预,观察组在对照组基础上实施人工鼻干预,比较两组患者气管切开后痰液以及并发症发生情况。结果实施护理干预后,观察组痰液黏稠度、吸痰次数、痰液总量指标均优于对照组;观察组气道呼吸道刺激症、痰痂形成、气道出血以及呼吸道阻力增加发生率低于对照组;组间比较差异均有统计学意义(P<0.05)。结论对脑卒中气管切开术后患者实施人工鼻干预,利于痰液稀释,以及肺内积痰的排除,降低并发症的发生风险。
Objective To explore the effect of artificial nose on trait of sputum and complications after tracheotomy in patients with stroke.Methods To select 80 cases of stroke patients who were admitted to the hospital for tracheostomy from November 2018 to December 2019 as the study objects.According to the principle of matching basic characteristics between groups,they were divided into a control group and an observation group,with 40 cases in each group.The control group performed routine nursing intervention,and the observation group performed artificial nose intervention on the basis of the control group to compare the sputum and complications of the two groups of patients after tracheotomy.Results After the implementation of nursing intervention,the observation group’s sputum viscosity,the number of sputum suctions,and the total sputum index were better than those of the control group,and the incidence of airway respiratory tract irritation,sputum formation,airway hemorrhage,and increased respiratory resistance in the observation group were lower than those of the control group,and the dif ferences between the groups were statistically significant(P<0.05).Conclusion The implementation of artificial nose intervention for patients with stroke after tracheotomy was beneficial to the dilution of sputum,the elimination of sputum accumulation in the lungs,and reducing the risk of complications.
作者
杨文霞
杨素芳
吴雪婷
YANG Wenxia;YANG Sufang;WU Xueting(Longchuan People’s Hospital,Heyuan 517300,China)
出处
《护理实践与研究》
2021年第12期1873-1876,共4页
Nursing Practice and Research
关键词
人工鼻
脑卒中
气管切开
痰液黏稠度
呼吸道刺激症
痰痂形成
Artificial nose
Stroke
Tracheotomy
Sputum viscosity
Respiratory tract irritation
Sputum formation
