利用简易呼吸器行大气道灌洗吸痰效果的研究

Research on Effects of Suction with Airway Lavage by Simple Breathing Apparatus

目的:探讨应用简易呼吸器进行大气道灌洗在吸痰护理中的应用效果。方法:60例行气管插管、听诊痰鸣、肺部啰音符合吸痰要求患者,随机分为2组,灌洗组30例在常规吸痰护理的基础上增加采用简易呼吸器进行大气道灌洗方法,2次/d,于听诊痰鸣音重时进行;对照组30例采用常规的吸痰、翻身叩背等护理方法,不进行大气道灌洗。结果:灌洗组患者吸痰前后痰鸣音、肺部啰音、黏膜损伤的发生情况均低于对照组,血氧饱和度(SaO2)、心率、血气分析结果均高于对照组(P<0.01)。结论:应用简易呼吸器进行大气道灌洗对气管插管吸痰患者的吸痰护理及气道湿化,减少不良反应及并发症的发生,优于传统的吸痰方法。

Objective：To explore the application results of suction with airway lavage by simple breathing apparatus in nursing.Methods：60 patients with tracheal intubation,auscultation phlegm,lung rales that needed suction were devided into 2 groups.30 patients in suction group were treated with airway lavage by simple breathing apparatus except for the basic suction nursing care,twice daily,and done with auscultation of heavy phlegm sound.30 patients were included control group and were given conventional suction,turning call-back and other nursing care,but without airway lavage.Results：Incidences of phlegm sound,pulmonary rales,mucosal injury in lavage group were significantly lower than control group.Oxygen saturation,heart rate and blood gas analysis in lavage group were higher than control group（P0.01）.Conclusion：Suction with airway lavage by simple breathing apparatus can reduce side effects and reduce incidence of complications.It＇s superior to conventional suction method.