基于不同年龄患儿的气管临床长度对其吸痰深度及效果研究

The study of the clinical length of trachea to the depth and effect of sputum suction based on the children patients in different ages

目的:本研究探讨不同年龄住院患儿经鼻吸痰的最佳插管深度,为儿科护士的吸痰操作提供参考。方法:将80例肺炎并且有吸痰指征的患儿随机分为对照组和观察组各40例。对照组行常规吸痰法,观察组的吸痰深度以该患儿的气管临床长度为吸痰深度依据的吸痰方法。比较两组在吸痰后痰鸣音、痰量、SpO_2、日吸痰次数、吸痰间隔时间及气道黏膜损伤情况。结果:两组患儿吸痰后10min内,观察组SpO_2数值高于对照组(P<0.05);观察组比对照组的痰鸣音减轻,日吸痰次数少、吸痰间隔时间较长;两组气道黏膜损伤差异无统计学意义(P>0.05)。结论:以患儿的气管临床长度为吸痰深度依据的操作效果优于对照组。

Objective:To explore the best intubation depth of sputum suction in children patients in different ages,and to provide reference for the phlegm sucking operation of the pediatric nurses.Methods:80 cases of pneumonia with sputum suction indication were randomly divided into control group and the observation group with 40 cases in each group.The control group was operated by normal method of phlegm sucking,and the depth of phlegm sucking of the observation group was based on the clinical length of the trachea.The changes of wheezy phlegm after phlegm sucking,sputum volume,the SpO 2,times of phlegm sucking per day,sucking time interval and airway mucosal injury after sucking were compared between two groups.Results:The SpO 2 value in the observation group was higher than the control group(P<0.05)within 10 min after sucking between the two groups.The observation group had less buzzing noise than the control group,with fewer daily sucking times and longer sucking intervals.There was no significant difference in mucosal injury of airway between the two groups(P>0.05).Conclusion:The effect on the phlegm sucking of children patients was better than the control groups according to the clinical length of tracheal.