摘要
目的探讨改良深部吸痰法在重症脑出血术后气管切开患者中的应用效果。方法选取2020年1月至2021年11月郑州大学第一附属医院收治的95例重症脑出血术后气管切开患者为研究对象,以入院时间分为两组,对照组47例,观察组48例。对照组接受常规护理干预,观察组在对照组基础上接受改良深部吸痰法护理。对比两组气管切开前后临床肺部感染积分(CPIS)、气道黏膜损伤率、吸痰前后体征变化(颅内压、心率、呼吸频率)、血氧饱和度变化、吸痰质量(吸痰次数、吸痰间隔时间、屏息时间)。结果吸痰时、吸痰后1 min,观察组颅内压、心率、呼吸频率均低于对照组(P<0.05);观察组SpO_(2)下降谷值、下降至谷值用时、恢复至基线值用时均短于对照组(P<0.05);观察组气道黏膜损伤率[6.38%(3/48)]低于对照组[21.28%(10/47)];气管切开后7 d与对照组相比,观察组CPIS评分较低(P<0.05);观察组吸痰间隔时间长于对照组,吸痰次数、屏息时间均小于对照组(P<0.05)。结论改良深部吸痰法吸痰护理应用重症脑出血术后气管切开患者中效果良好,可提升吸痰质量,稳定患者生命体征,减少气道黏膜损伤及肺部感染,有助于预后恢复。
Objective To explore the application effect of modified deep aspiration method in patients with severe cerebral hemorrhage after tracheotomy.Methods Ninety-five cases of postoperative tracheotomy patients with severe cerebral hemorrhage admitted to the First Affiliated Hospital of Zhengzhou University from January 2020 to November 2021 were selected for the study,and were divided into two groups according to admission times,47 cases in the control group and 48 cases in the observation group.The control group was given conventional nursing intervention,and the observation group was given aspiration care by modified deep aspiration method on the basis of the control group.The clinical pulmonary infection score(CPIS),airway mucosal injury rate,changes in signs(intracranial pressure,heart rate,respiratory rate),changes in oxygen saturation,quality of aspiration(number of aspirations,aspiration interval time,breath-holding time).Results At the time of aspiration and 1 minute after aspiration,the intracranial pressure,heart rate and respiratory rate of the observation group were lower than those of the control group(P<0.05).The trough value of SpO_(2)drop,the time taken to drop to the trough value and the time taken to return to the baseline value of the observation group were shorter than those of the control group(P<0.05).The rate of airway mucosal injury in the observation group[6.38%(3/48)]was lower than that of the control group[21.28%(10/47)].The tracheotomy CPIS score was lower in the observation group compared with the control group 7 d after tracheotomy(P<0.05).The aspiration interval time in the observation group was longer than that in the control group,and the aspiration frequency and breath-holding time in the observation group were smaller than those in the control group(P<0.05).Conclusion Modified deep aspiration method of aspiration care is effective when applied to postoperative tracheotomy patients with severe cerebral hemorrhage,which can improve the quality of aspiration,stabilize patients’vital s
作者
万盼盼
张玉娇
WAN Panpan;ZHANG Yujiao(Department of Neurocritical Care,the First Affiliated Hospital of Zhengzhou University,Zhengzhou 450000,China)
出处
《河南医学研究》
CAS
2023年第21期4011-4015,共5页
Henan Medical Research
关键词
深部吸痰护理
重症
脑出血
deep aspiration nursing
critical
cerebral hemorrhage
