摘要
目的目的探析气管插管机械通气病人联用聚维酮碘含漱液、五禽戏-改良猿提动作训练对预防其二次插管的作用。方法方法纳入2021年5月-2023年5月于我院治疗的60例气管插管机械通气患者作为研究对象,以随机数表法分组干预,对照组(聚维酮碘含漱液干预)、试验组(聚维酮碘含漱液+五禽戏-改良猿提动作训练),每组30例。对两组采取不同方案的效果进行评估比较。结果结果干预前,吞咽功能评分组间对比,差异无统计学意义(P>0.05);干预后,试验组吞咽功能评分显著高于对照组评分,且两组实施干预后的评分明显比干预前评分高,数据对比有统计学意义(P<0.05)。试验组比对照组吸入性肺炎发生率、二次插管率均更低,ICU住院时间更短,组间对比有统计学意义(P<0.05);而两组病死率对比无统计学意义(P>0.05)。结论结论联合运用聚维酮碘含漱液与五禽戏-改良猿提动作训练,对气管插管机械通气患者的干预效果良好,可有效改善患者吞咽功能,降低患者吸入性肺炎与二次插管发生率,缩短患者的ICU住院时间。
Objective To explore the effect of tracheal intubation mechanical ventilation patients combined with povidone iodine gargling liquid,Wuqinxi-improved ape lifting movement training to prevent second intubation.Methods A total of 60 patients with tracheal intubation and mechanical ventilation treated in our hospital from May 2021 to May 2023 were included in the study.The patients were divided into the control group(povidone iodine gargling intervention)and the experimental group(povidone iodine gargling+Wuqinxi-improved ape lifting movement training)according to the random number table,with 30 cases in each group.The effects of different programs were evaluated and compared between the two groups.Results Before the intervention,there was no statistically significant difference in swallowing function score between the two groups(P>0.05).After intervention,the swallowing function score of the experimental group was significantly higher than that of the control group,and the scores of the two groups after intervention were significantly higher than those before intervention,and the data comparison was statistically significant(P<0.05).The incidence of aspiration pneumonia,the rate of second intubation in the experimental group were lower than those in the control group,the length of ICU was shorter than control group,and the comparison was statistically significant(P<0.05).There was no significant difference in mortality between the two groups(P>0.05).Conclusion The combined application of povidone iodine gargarage and Wuqinxi-modified ape lifting exercise training has a good intervention effect on patients with tracheal intubation and mechanical ventilation,which can effectively improve the swallowing function of patients,reduce the incidence of aspiration pneumonia and secondary intubation,and shorten the ICU hospitalization time of patients.
作者
罗均平
吕逢源
陈翠铃
Luo Junping;Lv Fengyuan;Chen Cuiling(Zigong First People’s Hospital,Zigong,Sichuan 643000,China)
出处
《首都食品与医药》
2025年第12期152-155,共4页
Capital Food Medicine
基金
自贡市哲学社会科学重点研究基地运动与健康创新研究中心项目(编号:YDJKY21-35)。
关键词
气管插管
机械通气
聚维酮碘含漱液
五禽戏-改良猿提动作
二次插管
Tracheal intubation
Mechanical ventilation
Povidone-iodine gargle
Wuqinxi-improved ape lifting movement
Second intubation
