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振动排痰法对外科术后ICU机械通气患者排痰效果的影响
引用本文:柳莹. 振动排痰法对外科术后ICU机械通气患者排痰效果的影响[J]. 实用临床医药杂志, 2017, 21(12). DOI: 10.7619/jcmp.201712009
作者姓名:柳莹
作者单位:江苏省人民医院 二院院区ICU, 江苏 南京, 210036
摘    要:
目的探讨振动排痰法对外科术后ICU机械通气患者排痰效果的影响。方法将本科室收治的80例外科术后ICU机械通气随机分为观察组40例和对照组40例,对照组采用人工排痰法,观察组采用机械振动排痰法,比较2组的排痰效果、护理2 d后的血气指标、肺部感染率以及ICU停留时间。结果观察组术后2 d的排痰量均多于对照组,痰液粘稠程度好于对照组,差异有统计学意义(P0.05)。观察组护理2 d时的Sa O_2、p(O_2)大于对照组,p(CO_2)小于对照组,肺部感染的发生率低于对照组,住ICU的时间短于对照组,差异均有统计学意义(P0.05)。结论机械振动排痰能够显著提高ICU患者的排痰效果,改善肺部通气,减少肺部感染,缩短ICU住院时间。

关 键 词:机械振动排痰  重症ICU患者  排痰效果  肺部感染

Effect of vibration sputum elimination method on sputum expectoration of ICU mechanical ventilation patients after surgical operation
LIU Ying. Effect of vibration sputum elimination method on sputum expectoration of ICU mechanical ventilation patients after surgical operation[J]. Journal of Clinical Medicine in Practice, 2017, 21(12). DOI: 10.7619/jcmp.201712009
Authors:LIU Ying
Abstract:
Objective To investigate the effect of vibration sputum elimination method on sputum expectoration of ICU mechanical ventilation in patients after surgical operation.Methods A total of 90 ICU mechanical ventilation patients after surgical operation were divided into observation group (45 cases) and control group (45 cases), the control group was given percussion on back, and the observation group was given vibration sputum elimination, expectoration effect and blood gas index after 4 days of nursing, pulmonary infection rate and length of residence time were compared.Results The sputum volume after 3 d of nursing in the observation group was significantly higher, and sputum viscous degree was better than that in the control group, the differences were statistically significant (P<0.05).SaO2, p(O2) in the observation group were higher than that in the control group, p(CO2) was less than that in the control group, the incidence of pulmonary infection was lower than that in the control group, the time of ICU was shorter than that in the control group, the differences were statistically significant (P<0.05).Conclusion Vibration sputum elimination can significantly improve the sputum effect of ICU patients, improve lung ventilation, reduce pulmonary infection, and shorten the length of hospital stay in ICU.
Keywords:vibration sputum elimination  severe ICU patients  effect of sputum elimination  pulmonary infection
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