體外振動排痰機(jī)在機(jī)械通氣患者中的應(yīng)用與護(hù)理

陳蓮芳，徐凌忠

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·論著·

體外振動排痰機(jī)在機(jī)械通氣患者中的應(yīng)用與護(hù)理

陳蓮芳1，2，徐凌忠1

[摘要]目的：探討體外振動排痰機(jī)在機(jī)械通氣患者中的應(yīng)用效果和對護(hù)理人員勞累程度的影響。方法：選取64例行機(jī)械通氣患者隨機(jī)分為對照組和觀察組，其中對照組32例，觀察組32例。對照組采用常規(guī)翻身拍背叩擊排痰方法，觀察組在對照組的基礎(chǔ)上使用了體外振動排痰機(jī)排痰。觀察2組皮下出血發(fā)生例數(shù)、呼吸機(jī)治療時間、住ICU時間以及護(hù)理人員平均勞累程度。結(jié)果：觀察組呼吸機(jī)治療時間、住ICU時間、皮下出血發(fā)生例數(shù)以及護(hù)理人員平均勞累程度均低于對照組，差異有統(tǒng)計學(xué)意義(P﹤0.01或0.05)。結(jié)論：使用體外振動排痰機(jī)可減少相關(guān)并發(fā)癥、呼吸機(jī)治療時間、降低護(hù)理人員工作強(qiáng)度。

[關(guān)鍵詞]振動排痰機(jī)；機(jī)械通氣；重癥監(jiān)護(hù)病房；護(hù)理

Vibrating sputum evacuation application in patients with mechanical ventilation and nursingCHENLian-fang,XULing-zhong．(DepartmentofICU,TheFirstAffiliatedHospitalofBengbuMedicalCollege,Anhui233004,China)

【Abstract】Objective：To explore the effect of vibrating sputum evacuation device on patients with mechanical ventilation and the impact of the degree of fatigue on nursing staff.Methods: 64 patients with mechanical ventilation were randomly divided into a control group and an observation group,32 in each.The control group was treated with conventional method: rotating patients and clapping the back.The observation group was treated with conventional method + vibrating sputum evacuation.The two groups were compared in terms of the incidence of subcutaneous bleeding, the mechanical ventilation time, ICU hospital stay and the average level of fatigue in the nursing staff.Results:Compared with the control group, the incidence of subcutaneous bleeding, the mechanical ventilation time,ICU hospital stay and the average level of fatigue in the nursing staff in the observation group were lower. The difference was statistically significant.(P< 0.01 or 0.05).Conclusion:Application of vibrating sputum evacuation device could reduce the incidence of related complication,the mechanical ventilation time and working intensity of nursing staff.

【Key words】Vibrating sputum evacuation machine; Mechanical ventilation; ICU; Nursing

隨著重癥醫(yī)學(xué)的發(fā)展，機(jī)械通氣技術(shù)越來越被廣泛應(yīng)用于ICU危重患者的搶救和治療中，由于ICU危重患者存在營養(yǎng)狀況較差，機(jī)體的免疫功能差，加之機(jī)械通氣時間長，極易并發(fā)呼吸道感染[1]，呼吸道感染又是機(jī)械通氣患者常見而又重要的死亡原因之一。因此為了更好地預(yù)防和減少機(jī)械通氣患者發(fā)生呼吸道感染，肺部體療顯得尤為重要，為采取及時有效的護(hù)理措施解決痰液潴留，減少呼吸道感染的發(fā)生，我科在傳統(tǒng)人工叩背排痰方法的基礎(chǔ)上使用了體外振動排痰機(jī)排痰，取得良好的臨床效果，現(xiàn)報告如下。

1資料與方法

1．1資料選擇2014年7月-2015年7月我科收治的機(jī)械通氣患者64例作為研究對象。……