首页|封闭式吸痰联合预充氧预防机械通气患者吸痰后低氧血症临床研究

封闭式吸痰联合预充氧预防机械通气患者吸痰后低氧血症临床研究

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目的:探讨预充氧联合封闭式吸痰对机械通气患者吸痰后低氧血症的预防作用。方法以 ICU63例机械通气患者为研究对象,随机分为对照组(开放式吸痰,29例)和实验组(封闭式吸痰,33例),封闭式吸痰组患者吸痰前予以吸纯氧1分钟,吸痰前、吸痰后5分钟分别抽取动脉血检查 PaO2、SaO2。结果吸痰前后PaO2变化:实验组患者分别为89.4±12.2mmHg、83.1±12.4mmHg,P >0.05,差异无统计学意义,对照组患者分别为91.2±15.4mmHg、83.1±12.4mmHg,P<0.05;吸痰前后SaO2变化:实验组患者分别为95.3%±2.7%,92.8%±2.8%,P>0.05,差异无统计学意义,对照组患者分别为94.9%±2.7%,85.4%±3.7%,P<0.05,差异有统计学意义。结论预充氧联合封闭式吸痰可有效预防吸痰后低氧血症。
Objective To study the sputum suction oxygen filling joint enclosed on hypoxemia after mechanical ventilation in patients with sputum aspiration .Meth-ods ICU63 mechanical ventilation patients as the research object,were randomly divided into control group(open sputum suction,29 cases)and the experimental group ( enclosed sputum suction,33 cases) ,sputum suction closed group of patients with sputum suction to pure oxygen absorption before 1 minute,sputum suction,after 5 mi-nutes before the sputum suction extraction arterial blood check PaO2,SaO2,respectively.Results Before and after the sputum suction PaO2 changes:the experimental group patients were 89.4 ±12.2mmHg and 83.1 ±12.4 mmHg,P>0.05,there was no statistically significant difference,the control group patients were 91.2 ±15.4 mmHg and 83.1 ±12.4mmHg,P<0.05;Patients with sputum suction SaO2 before and after the change:The experimental group were 95.3%plus or minus 2.7%,92. 8%plus or minus 2.8%and P>0.05,there was no statistically significant difference,the control group patients were 94.9%plus or minus 2.7%,85.4%plus or minus 3.7%,P<0.05,the difference was statistically significant.Conclusion Beforehand oxygenation combined enclosed sputum suction can effectively prevent hypoxemia af-ter sputum suction.

Mechanical ventilationArtificial airwaySputum suctionOxygenhypoxemia

邹林帆

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四川省泸州医学院附属医院ICU,四川 泸州 646000

机械通气 人工气道 吸痰 吸氧 低氧血症

2014

中国保健营养(上旬刊)
全国卫生产业企业管理协会

中国保健营养(上旬刊)

ISSN:1004-7484
年,卷(期):2014.(1)
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