ICU患者建立人工气道过程中的高危因素分析和对抗策略

Analyze the high risk factors and coping strategies of artificial airway management for ICU patients

目的研究ICU建立人工气道中常见的高危因素及其临床特征,根据原因提出对抗对策,希望能降低ICU科室高危因素的影响,保障患者安全。方法选取2014年5月11日至2017年5月11日90例ICU患者的临床资料进行研究,患者均需要建立人工气道,并接受人工气道管理,分析患者的临床资料、人工气道管理情况等,研究ICU科室人工气道管理中常见的高危因素,并提出针对性的对抗策略。结果相关性肺炎、气道损伤、肺不张以及突发缺氧是ICU科室人工气道管理的高危因素。结论 ICU患者人工气道管理中常见危险因素多种多样,临床上要加强管理,对患者的气道情况进行密切的关注,以便能够快速了解、解决问题,以防高危因素对患者治疗恢复产生影响。

Objective To analyze the clinical high risk factors and clinical features of artificial airway management,propose the coping strategies,reduce the high risk factors and guarantee the patient s safety. Methods The clinical data about 90 ICU patients treated from May 11,2014 to May 11,2017 in our hospital was reviewed. The artificial airway was established and managed. According to the patient s clinical data and management conditions,the commonly seen high risk factors and the coping strategies were analyzed. Results It was known that the high risk factors of the artificial airway management included the ventilation-associated pneumonia,airway injury,pulmonary atelectasis and acute hypoxia. Conclusion During the artificial airway management,there are many high risk factors.Therefore,it is necessary to manage and monitor the clinical airway so as to find out and solve the corresponding problems and prevent the adverse reactions of high risk factors.