气管插管病人拔管前序贯使用BiPAP无创呼吸机的疗效观察与护理

Curative effect observation and nursing of trachea intubation patient before extubation sequential use of BIPAP noninvasive ventilator

目的:探讨气管插管病人拔管前序贯使用无创呼吸机的疗效观察与护理。方法:将88例气管插管病人随机分为观察组46例,对照组42例,观察组在拔除气管插管前给予自主呼吸与时间控制(ST)模式的双水平无创呼吸机(BiPAP)治疗,然后拔除气管导管,拔管后继续给予无创呼吸机治疗,对照组应用常规序贯脱机治疗程序,即先拔除气管导管,再给予无创呼吸机治疗。结果:观察组和对照组脱机成功率分别为93.47%和80.95%,具有统计学差异(P<0.05)。观察组病人拔管后无创呼吸机使用时间与对照组相比显著减少,差异有统计学意义(P<0.05)。结论:气管插管病人拔管前序贯使用BiPAP无创呼吸机治疗并加强护理,可有效提高有创呼吸机的脱机成功率。

Objective： To discuss the curative effect and nursing of tracheal intubation and extubation anterior sequential use of noninvasive ventilator. Meth- ods ：88 cases of tracheal intubation patients were randomly divided into the observation group of 46 cases, control group of 42 cases, the observation group in the extubation was given before the spontaneous breathing and the time control （ST） model of noninvasive ventilator （BiPAP） treatment,and extubation af- ter extubation, continue to provide noninvasive ventilator therapy,the control group application of conventional sequential offline treatment program （i. e. the first tracheal catheter,and then give the noninvasive ventilator ）. Results ：The observation group and the control group offline success rates were 93.47% and 80.95 % ,with significant difference （ P 〈 0.05 ）. The patients in the observation group after extubation of noninvasive ventilation time compared with the control group decreased significantly, the difference was statistical significant （ P 〈 0.05 ）. Conclusion ： Tracheal cannula extubation sequential use of BIPAP noninvasive ventilator therapy and nursing,which can effectively improve the noninvasive ventilator weaning success rate.