侧向旋转体位护理策略对吸入性肺炎患者吸痰效果的影响

The effect of the sputum suction of aspiration pneumonia patients by nursing strategies of lateral rotation posture

目的探讨采取侧向旋转体位(LRP)护理策略患者的吸痰效果。方法将30例吸入性肺炎呼吸衰竭行机械通气的患者随机分为观察组与对照组,在常规卧位护理时行吸痰为对照组,观察组在常规卧位吸痰的基础上辅助采取LRP护理策略吸痰。分别对2组患者开始观察的第1天和第4天的动脉血氧分压[p(O2)]及第1天和第4天的胸部X片的炎性片状影变化进行观察,并对结果进行统计学分析。结果观察组与对照组相比,吸痰前后的p(O2)改善程度呈显著性差异(P<0.01);观察组第4天胸部X片炎性片状影大部分被吸收者为13例(86.67%),对照组为6例(40.00%),差异有统计学意义(P<0.05)。结论机械通气的吸入性肺炎患者痰液淤积时,结合病情及痰液多少在常规吸痰基础上适当采取侧向旋转体位护理策略吸痰,效果明显优于单纯采取常规体位护理策略吸痰法。

Objective To investigate the effect of the sputum suction in aspiration pneumo-nia patients by nursing strategies of lateral rotation posture （LRP）.Methods 30 aspiration pneu-monia patients with respiratory failure underwent mechanical ventilation were randomly divided into observation group and control group.The control group was conducted sputum suction in conven-tional lateral position while the observation group was taken nursing strategies of LRP on the basis of conventional sputum suction.The changes of the arterial oxygen [p（O2）]and the chest X-rays in-flammatory patchy on the 1st day and the 4th day were compared and the results were statistically analyzed.Results Compared with the control group,the improvement of the p（O2）before and af-ter sputum suction in the observation group was significant difference （P 〈0.01）;Absorption of chest X-rays inflammatory patchy happened in 13 patients（86.67%）in the observation group and 6 cases （40.00%）in the control group on the 4th day,the results revealed that the difference was statistically significant （P 〈0.01）.Conclusion In the condition of mucus deposition of aspiration pneumonia patients underwent mechanical ventilation,the effect of the sputum suction with LRP nursing strategies is significantly better than the conventional position nursing strategies.