摘要
目的比较开放声门深部吸痰方案与常规吸痰法两种不同吸痰方式在慢性阻塞性肺病急性加重期（AECOPD）呼吸衰竭无创通气无力排痰患者中的效果。方法将AECOPD呼吸衰竭无创通气无力排痰的62例患者按随机数字表法随机分为观察组和对照组各31例，分别采用开放声门深部吸痰方案（观察组）和常规吸痰法（对照组）吸痰。比较两种方法的吸痰效果、气道损伤及肺部感染等并发症的发生率以及对患者血氧饱和度的影响。结果观察组患者吸痰效果显效者18例，发生气道损伤者1例；对照组吸痰效果显效者10例，发生气道损伤者8例，两组比较差异均有统计学意义（P均〈0．05）。吸痰前两组血氧饱和度差异无统计学意义（P〉0．05），观察组吸痰后血氧饱和度（98．03±1．42）％高于对照组的（96．22±1．62）％，差异有统计学意义（t=4．649，P〈0．05）。观察组发生肺部感染者2例，对照组发生肺部感染者5例，两组比较差异无统计学意义（χ^2=0．64，P〉0．05）。结论开放声门深部吸痰方案比常规吸痰法更能提高吸痰的有效率，减少并发症的发生，减轻患者的痛苦，提高护理质量。
Objective To observe and compare the effect of opening the glottis deep suction scheme and conventional sputum suction method on the AECOPD respiratory failure patients with noninvasive ventilation. Methods Totals of 63 patients AECOPD respiratory failure patients with noninvasive ventilation were randomly divided into observation group and control group, the opening of glottis deep suction scheme was adopted in the observation group and conventional sputum suction method was adopted in the control group. Sputum suction effect such as the incidence of airway injury and pulmonary infection complication, and the blood oxygen saturation of two groups were compared. Results 18 cases had a effective treatment, one case had airway injury in the observation group, and that of the control group was 10 and 8 respectively, and the difference was statistically signifieant（P 〈 0. 05 ）. No significant difference was found in the blood oxygen saturation before suction between two groups （ P 〉 0.05 ）, while after suction, the blood oxygen saturation of the observation group was（ 98.03 ± 1.42 ） % which was significantly higher than that of the control group [ （ 96.22 ± 1.62 ） % ] （ P 〈 0.05 ）. And 2 cases had pulmonary infection in the observation group, and 5 cases of the control group, and the difference was statistically significant （ P 〈 0.05 ）. Conclusions Open glottal deep suction scheme is more effective than the conventional sputum suction method, which can reduce the incidence of complications, alleviate the suffering of patients, and improve the quality of nursing care.
出处
《中华现代护理杂志》
2012年第19期2329-2331,共3页
Chinese Journal of Modern Nursing
