急诊ICU气管插管机械通气患者的观察与护理

Observation of the nursing on emergency ICU tracheal intubation mechanical ventilation patients

目的观察急诊重症监护室(ICU)气管插管机械通气患者的临床情况、护理方法及效果。方法选取我院急诊ICU收治的行气管插管机械通气患者17例,总结患者临床情况,给予细心的护理,观察护理效果。结果本组17例气管插管机械通气患者的ICU监护时间为(12.48±3.06)d,通气时间(10.04±2.55)d。患者并发症率17.65%,其中导管脱出患者0例,气管黏膜坏死、出血患者1例,胃肠障碍患者0例,导管阻塞患者1例,通气不良患者0例,呼吸道感染患者1例。患者护理满意度94.12%,其中很满意10例,满意6例,不满意1例。结论急诊ICU气管插管机械通气患者临床护理要点较多,加强对患者的监护,防止并发症的发生和提高患者满意度是主要护理目的。

Objective To observe the clinical situation,nursing methods and effect of the emergency ICU （ICU） patients with mechanical ventilation by endotracheal intubation. Methods Selected 17 patients with tracheal intubation and mechanical ventilation in our emergency ICU,summarized the patient＇ s clinical situation, gave careful care,and observed the effect of nursing. Results The ICU monitoring time of 17 patients with tracheal intubation and mechanical ventilation was （12.48 ± 3.06） d, and the ventilation time （10.04± 2.55） d. Patients with compheation rate was 17.65%, including 0 cases of catheter prolapse patients, 1 cases of patients with tracheal mucosa necrosis and hemorrhage, 0 cases of gastrointestinal disorders, 1 cases of catheter obstruction, 0 cases of patients with poor ventilation, respiratory tract infection in 1 cases. The satisfaction rate of the patients was 94.12%, among which 10 cases were satisfactory, 6 cases were satisfied, and 1 cases were not satisfied. Conclusion Emergency ICU trachea intubation mechanical ventilation patients with more points of clinical care, strengthen the monitoring of patients, prevent complications and improve patient satisfaction is the main purpose of nursing.