摘要
目的:探讨电动吸痰在尘肺病患者肺灌洗治疗中对低氧血症的影响。方法:将478例择期需经鼻支气管镜肺灌洗治疗的尘肺病患者,随机分为纸巾组217例和吸痰组261例,纸巾组在肺灌洗过程中使用一次性纸巾擦拭分泌物;吸痰组使用吸痰管在电动吸痰下抽吸分泌物,监测两组术中心率、血压、呼吸及术前、术中、术后血氧饱和度的变化。结果:吸痰组较纸巾组血氧饱和度降低的发生明显减少(P<0.001)。吸痰组、纸巾组的低氧血症发生率分别为19.54%、59.91%,两组比较差异有统计学意义(χ2=18.461,P<0.001)。结论:电动吸痰可明显减少尘肺病患者肺灌洗治疗中低氧血症的发生。
Objective：To investigate the effects of hypoxemia electric suction phlegm in the lung lavage in pneumoconiosis patients. Methods：478 cases of elective need transnasal bronchoscopy lung lavage in the treatment of pneumoconiosis patients,randomly divided into tissue group of 217 cases and 261 cases of sputum suction,tissue group use disposable paper towels wiping the exudate in lung lavage process;spu-tum suction using suction tube in the electric suction secretions sputum,monitoring the heart rate of the two groups the blood oxygen saturation,blood pressure,respiration and operation process,before after changes.Results：the sputum suction is tissue group reduced significantly reduced the incidence of blood ox-ygen saturation （P〈0.001）.Sputum suction,tissue group the incidence of hypoxemia was respectively 19.54%,59.91%,there was significant difference between two groups （χ2=18.461,P〈0.001）.Conclu-sion：The electric suction can significantly reduce the incidence of pneumoconiosis patients with lung lavage in the treatment of hypoxemia.
出处
《广西医科大学学报》
CAS
2015年第1期50-52,共3页
Journal of Guangxi Medical University
基金
广西自然科学基金项目(No.桂科自091224)
关键词
电动吸痰
肺灌洗
尘肺病
低氧血症
electric suction
lung lavage
pneumoconiosis
occupational disease prevention
