术后ICU机械通气患者应用机械振动排痰护理改善肺部并发症的效果观察

Effect of Mechanical Vibration Sputum Drainage in Patients with Postoperative ICU Mechanical Ventilation to Improve Pulmonary Complications

目的:探究术后重症监护病房(ICU)机械通气患者应用机械振动排痰护理改善肺部并发症的效果。方法:选取86例术后入住ICU行机械通气患者为受试对象,随机数表法分为观察组与对照组各43例。对照组患者实施人工扣背排痰护理干预,观察组患者则采取机械振动排痰护理进行干预,比较两组患者脱机时间、抗生素使用时间、住ICU时间及肺部并发症改善效果差异。结果:观察组患者脱机时间、抗生素使用时间、住ICU时间均明显少于对照组(P<0.05);观察组患者肺部并发症改善有效率明显高于对照组(P<0.05)。结论:术后ICU机械通气患者应用机械振动排痰护理可有效缓解其肺部并发症,对预后恢复有利。

Objective：To explore the effect mechanical vibration sputum drainage in patients with postoperative ICU mechanical ventilation to improve pulmonary complications.Methods：86 patients admitted to the ICU with mechanical ventilation after operation were selected and divided into observation group（n=43）and control group（n=43）by random number table method.The control group was given artificial back percussing nursing intervention,and observation group was taken mechanical vibration sputum exhaustion nursing.The off-line time,antibiotic use time,ICU stay time and the improvement of pulmonary complications in the two groups were compared.Results：The off-line time,antibiotic use time and ICU stay in observation group were significantly less than those in control group（P〈0.05）.The effective rate of pulmonary complications in observation group was significantly higher than that in control group（P〈0.05）.Conclusion：Mechanical vibration exhaustion nursing for patients with postoperative ICU mechanical ventilation can effectively alleviate the lung complications,and is beneficial for prognosis and recovery.