摘要
目的减轻气道吸引时给患者带来的痛苦及不良反应。方法将63例气管切开意识清醒患者随机分为观察组32例和对照组31例。对照组用常规方法进行气道内吸引,观察组吸引前用2%利多卡因0.5~1m1沿气管内壁缓慢注入,待2~3min后再行气道内吸引。结果观察组与对照组在发生刺激性咳嗽、躁动等方面存在统计学显著差异(P〈0.01);在吸痰时与吸痰后2min,血氧饱和度读数均值两组存在统计学显著差异(P〈0.01);吸痰后5min血氧饱和度读数均值两组存在统计学差异(P〈0.05)。结论在气道内吸引前用2%利多卡因气道内注入,明显减轻机体的反应,降低对气管的刺激性,减轻了患者的痛苦。
Objective To relieve the pain and discomfort in patients receiving tracheotromy during airway sputum suction. Methods Sixty-three conscious patients receiving tracheostomy were ran- domly divided into 2 groups : observation group ( n : 32) and control group ( n : 31 ). Patients in control group were given routine airway sputum suction and those in observation group were given 20/00 lidocaine (0.5-1 ml) 2-3 min before airway suction. Results There were significant differ- ences in the irritant cough and restlessness between the 2 groups ( P〈0. 01). There was significant difference in oxygen suturation rates in 2 groups during suction, two minutes after suction( P〈0. 01) ,and 5 min after suction( P〈0.05). Conclusion Application of 2% lidoncaine in airway tract before suction can markedly reduce tissue reaction and stimulation to the trachea, relieving the sufferings of patients.
出处
《解放军护理杂志》
2007年第5期20-21,共2页
Nursing Journal of Chinese People's Liberation Army