改良深部吸痰法在重型颅脑损伤气管切开行呼吸机辅助治疗患者中的应用价值

Application value of modified deep sputum suction method in patients with severe craniocerebral injury undergoing tracheotomy for ventilator adjuvant therapy

目的:观察改良深部吸痰法在重型颅脑损伤气管切开行呼吸机辅助治疗患者中的应用价值。方法:选取行气管切开呼吸机辅助治疗的60例重型颅脑损伤患者为研究对象,按照随机数字表法分为研究组与对照组各30例。对照组采取常规吸痰法吸痰,研究组采取改良深部吸痰法吸痰,比较两组临床肺部感染评分(CPIS)、气道黏膜损伤率、人工气道通畅率与护理满意度。结果:气管切开后,两组CPIS评分与人工气道通畅率比较,差异均无统计学意义(P>0.05);气管切开后7 d,研究组气道黏膜损伤率明显低于对照组,护理满意度明显高于对照组,差异有统计学意义(P<0.05)。结论:改良深部吸痰法可以降低重型颅脑损伤气管切开行呼吸机辅助治疗患者的气道黏膜损伤率,提高护理满意度,效果好于常规吸痰。

Objective:To analyze application value of modified deep sputum suction method in patients with severe craniocerebral injury undergoing tracheotomy for ventilator adjuvant therapy.Methods:60 patients with severe craniocerebral injury undergoing tracheotomy for ventilator adjuvant therapy were selected as the research objects,and were divided into study group and control group according to the random number table method,30 cases in each group.The control group took conventional sputum suction,while the study group took the modified deep sputum suction method.The clinical pulmonary infection score(CPIS),airway mucosal injury rate,artificial airway patency rate and nursing satisfaction were compared between the two groups.Results:After tracheotomy,there were no statistically significant differences in the CPIS score and between the two groups.7 days after tracheotomy,the airway mucosal injury rate in the study group was significantly lower than that in the control group;the nursing satisfaction was significantly higher than that in the control group;and the differences were statistically significant(P<0.05).Conclusions:For the patients with severe craniocerebral injury undergoing tracheotomy for ventilator adjuvant therapy,the modified deep sputum suction method can reduce the airway mucosal injury rate and improve the nursing satisfaction.Moreover,it is superior to conventional sputum suction.