气道优化护理对重症肺炎通气患者血气指标及VAP发生率的影响

Effect of Airway Optimal Nursing on Gas Indicators and Incidence of VAP in Severe Pneumonia Ventilated Patients

目的:探讨气道优化护理对重症肺炎通气患者血气指标及呼吸机相关性肺炎(VAP)发生率的影响。方法:回顾性分析笔者所在医院2018年3月-2019年3月接收的重症肺炎通气患者84例临床资料,将行常规护理的41例患者纳入对照组,将在对照组基础上采用气道优化护理的43例患者纳入护理组。比较分两组护理前后血气指标、排痰量及VAP发生情况。结果:两组护理后PaO2、SaO2水平均提升,且护理组高于对照组,PaCO2水平下降,且护理组比对照组低(P<0.05);护理组第2、4、6天的排痰量均比对照组多(P<0.05);护理组VAP发生率低于对照组(P<0.05)。结论:行气道优化护理对重症肺炎通气患者改善血气指标效果明显,有助于增加排痰量,降低VAP发生率。

Objective:To explore the influence of airway optimization nursing on blood gas indexes and incidence of ventilator-associated pneumonia(VAP)in patients with severe pneumonia.Method:The clinical data of 84 patients with severe pneumonia who received ventilation in our hospital from March 2018 to March 2019 were retrospectively analyzed.41 patients with routine nursing were included in the control group,and 43 patients with airway optimization nursing on the basis of the control group were included in the nursing group.Blood gas indexes,sputum excretion and incidence of VAP were compared between the two groups before and after nursing.Result:After nursing,the PaO2 and SaO2 levels of the two groups were increased,and the nursing group were higher than those of the control group,and the PaCO2 level was decreased,and the nursing group was lower than that of the control group(P<0.05).The amount of sputum excretion in the nursing group on the 2nd,4th and 6th days were more than those of the control group(P<0.05).The incidence of VAP in the nursing group was lower than that in the control group(P<0.05).Conclusion:The effect of airway optimization nursing on improving blood gas index of patients with severe pneumonia ventilation is obvious,which is helpful to increase sputum output and reduce the incidence of VAP.