首页|新型吸痰器在辅助机械通气患者气道管理中的应用效果评价

新型吸痰器在辅助机械通气患者气道管理中的应用效果评价

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目的 比较新型吸痰器与传统吸痰装置在辅助机械通气患者气道管理中的应用效果,为提高辅助机械通气气道管理效果并减少不良事件发生率提供有效方法。方法 2021年3月至2023年3月采用便利抽样法选取某医院呼吸与危重症医学科重症监护护理单元收治的进行辅助机械通气治疗的患者139例为研究对象,采用自身对照法对每名患者交替使用一次性吸痰管(对照组)及新型吸痰器(观察组)。评价并比较两种吸痰装置的护理操作评价与患者血氧饱和度变化及不良事件等发生率。结果 与对照组比较,观察组护理操作难度大,差异有统计学意义(P<0。05);观察组患者血氧饱和度下降率低于对照组,差异有统计学意义(P<0。05);观察组呼吸道出血发生率明显低于对照组,差异有统计学意义(P<0。05),但观察组心律失常发生率更高(P<0。05)。结论 新型吸痰器在呼吸危重症患者气道管理中的临床应用效果显著,能改善血氧饱和度并降低出血等发生率,提高患者体验,具有临床推广应用与转化前景。
Evaluation of the Application Effect of a New Sputum Suction Device in Airway Management of Assistive Mechanical Ventilation Patients
Objective To compare the application effect of the new sputum suction device and the traditional device in airway management of assistive mechanical ventilation(AMV)patients,and to provide an effective method to improve the airway management effect and reduce the incidence of adverse events.Methods From March 2021 to March 2023,139 patients received AMV treatment in the Intensive Care Nursing Unit of the Department of Respiratory and Critical Care Medicine of a hospital were selected by convenience sampling method.Each patient was alternately treated with disposable sputum suction tube(control group)and new sputum suction device(observation group)by self-control method.To evaluate and compare the nursing operation evaluation of the two sputum suction devices with the changes of blood oxygen saturation and the incidence of adverse events.Results Compared with the control group,the nursing operation in the observation group was more difficult,and the difference was statistically significant(P<0.05).The decrease rate of blood oxygen saturation in observation group was much lower than that in control group,and the difference was statistically significant(P<0.05).The incidence of respiratory bleeding in the observation group was significantly lower than that in the control group,and the difference was statistically significant(P<0.05).But the incidence of arrhythmia was higher in the observation group(P<0.05).Conclusions New sputum suction device can significantly improve blood oxygen saturation,reduce the incidence of bleeding and other adverse reactions,promote tolerance of patients,and reduce nursing burden,which has a clinical application prospect.

new sputum suction deviceairway managementassistive mechanical ventilationdisposable sputum suction device

吉新凤、王羽娇、刘丹、朱海荣、葛淑华

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空军军医大学第一附属医院呼吸与危重症医学科,陕西西安 710032

新型吸痰器 气道管理 辅助机械通气 一次性吸痰器

国家自然科学基金青年科学基金项目陕西省三秦特殊支持计划创新创业团队-肺癌精准化诊疗与全程规范化管理创新团队(陕西省人才项目)

81902316

2024

军事护理
第二军医大学

军事护理

CSTPCD北大核心
影响因子:1.628
ISSN:2097-1826
年,卷(期):2024.41(10)
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