摘要
目的:探讨有机磷农药中毒机械通气两种吸痰方法的应用效果。方法:将某医院内科重症抢救室行机械通气的64例患者随机分为观察组和对照组,各32例,观察组采用试验吸痰法。对照组采用常规吸痰法。观察两种方法吸痰前、吸痰后30min潮气量(VT)、气道压力、动脉血氧饱和度(SpO2)、氧分压(PaO2)、肺部并发症等情况。结果:观察组吸痰前、吸痰后潮气量、气道压力、氧分压、SpO2、肺部并发症等与常规法相比有显著意义(P<0.05)。结论:在机械通气患者进行吸痰时,使用吸痰→湿化→扩肺→吸痰→扩肺或者吸痰→扩肺的方法,可以提高吸痰效果,减少肺部相关并发症。
Objective： Explore the effect of applying two different methods of sputum drainage by mechanical ventilation for organophosphorus pesticide poisoning.Methods： The test is carried in following way,64 patients in ICU are divided into experimental group and control group at random,with 32 patients in each group.The former is tested with experimental sputum suction,while the latter with regular sputum suction.Then observe the differences between two groups in VT,AWP,SpO2,PaO2,Lung Complication at the time of 30ms before and after sputum suction.Results： The results are compared with the regular methods,the experimental group enjoys comparatively obvious significance in VT,AWP,SpO2,PaO2,Lung Complication,both before and after sputum suction（P0.05）.Conclusion： In a word,when implementing sputum suction among the patients with mechanic ventilation,the approach of sputum suction→humidification→lung extension→sputum suction→lung extension or sputum suction→lung extension can improve the effects of sputum suction and reduce the related lung complication.
出处
《安徽卫生职业技术学院学报》
2011年第3期60-61,96,共3页
Journal of Anhui Health Vocational & Technical College
关键词
有机磷农药中毒
吸痰方式
机械通气
护理
Organophosphorus pesticide poisoning sputum suction mechanic ventilation
nursing
