摘要
目的 评价气管切开患者行间歇声门下吸引的应用效果.方法 将我院ICU 2010年11月至2012年11月收治的51例气管切开的患者按照气管切开时间的先后顺序分为对照组25例和观察组26例,对照组患者气管切开时采用普通气管切开导管,吸痰方法为常规气管内分泌物吸引,观察组患者气管切开时采用可冲洗式气管导管,在常规气管内分泌物吸引的基础上进行间歇声门下吸引.结果 观察组分泌物日吸引量（46.8±1.3）ml高于对照组的（32.7±2.1）ml,日吸痰次数（9.2±0.6）低于对照组的（13.1±1.1）,吸痰时发生呛咳的频次（5.7±0.9）低于对照组（8.2±1.7）,差异均有统计学意义（t值分别为13.63,11.75,9.91；P ＜0.05）；观察组VAP发生率（26.8％）低于对照组（48.0％）,差异均有统计学意义（x2=9.62,P＜0.05）.结论 间歇声门下吸引可减少声门下分泌物的误吸,减少吸痰的次数,降低VAP的发生率.
Objective To investigate the effect of intermittent aspiration of subglottic secretion on patients with tracheotomy.Methods Fifty-one patients treated with percutaneous tracheostomy in ICU from November 2010 to November 2012 were randomly divided into the control group （n =25） and the observation group （n =26）.Control group received conventional aspiration,while intermittent aspiration of subglottic secretion was applied in the observation group.The volume of sputum,the incidence of ventilator-associated pneumonia （VAP） and the bucking times while aspiration of sputum in two groups were observed and compared.Results The volume of sputum in the observation group （46.8 ± 1.3） ml were higher than that in the control group（32.7 ± 2.1） ml,and the difference was statistically significant （t =13.63,P ＜ 0.05）.The times of aspiration of sputum [（9.2 ±0.6） vs （13.1 ± 1.1）],the bucking times while aspiration of sputum [（5.7 ± 0.9）vs （8.2 ± 1.7）] and the incidence of VAP （26.8％ vs48.0％）in observation group were significantly lower than those in the control group （t =11.75,9.91,respectively; x2 =9.62 ; P ＜ 0.05）.Conclusions Intermittent aspiration of subglottic secretion vail can effectively reduce the incidence aspiration of sputum,VAP and bucking times.
出处
《中华现代护理杂志》
2013年第21期2585-2587,共3页
Chinese Journal of Modern Nursing
关键词
肺炎
呼吸机相关性
气管切开
间歇声门下吸引
Ventilator-associated pneumonia
Incision of trachea
Intermittent aspiration of subglottic secretion
