浅层吸痰在机械通气早产患儿中的应用

Clinical effect of shallow suction applied in mechanical ventilation in premature infants

目的：探讨浅层吸痰在机械通气早产患儿中的应用效果,为早产儿临床研究提供真实的依据。方法：将2012年8月~2014年2月本院60例机械通气早产儿随机等分为试验组与对照组,对照组采用传统深层吸痰,试验组采用浅层吸痰,比较两种吸痰方法的临床效果。结果：试验组吸痰3 min后患儿血氧饱和度较对照组升高,生命体征（心率、呼吸、血压）较对照组平稳,吸痰相关并发症中烦躁、呕吐、气道黏膜损伤的发生率低于对照组,差异具有统计学意义（P〈0.05）。结论：采用浅层吸痰可有效清理早产儿的气道痰液,提高其血氧饱和度,减少对生命体征的影响,降低吸痰相关并发症,改善预后,具有较好临床效果,特别适合机械通气早产儿临床应用。

Objective： To explore the clinical effect of shallow suction applied in mechanical ventilation in premature infants,to provide true reference and basis for clinical nursing practice and research in preterm infants. Methods： 60 patients with mechanical ventilation of premature infants were randomly divided into experimental group and control group,the control group used the traditional deep sputum suction,while the experimental group used shallow suction.Compared the two sputum drainage methods of clinical the actual effect. Results： In experimental group suction oxygen saturation after 3min was significantly higher than the control group,vital signs（ heart rate,respiration,blood pressure） compared with the control group,stable,sputum suction related complications in irritability,vomiting,airway mucosal injury incidence was significantly lower than the control group,the difference has statistical significance（ P〈0. 05）. Conclusion： Using shallow suction can effectively clean premature airway sputum,improve the blood oxygen saturation,reduce the impact on the vital signs,reduce phlegm suction related complications,improve the prognosis of the patients,has good clinical effect,especially suitable for the clinical application of mechanical ventilation in premature infants.