浅层吸痰法在气管插管新生儿中的疗效观察

目的 探讨浅层吸痰法在气管插管新生儿中的临床应用及其效果.方法 将106例重症监护的新生儿,按入院先后顺序编号,用序贯法偶数组为对照组,奇数组为观察组,每组各53例,对照组实施常规吸痰法,观察组实施浅层吸痰法,并比较两组的临床效果.结果 两组吸痰结束时心率、呼吸、平均动脉压及SPO2与吸痰前1 min相比差异有统计学意义（P＜0.05）,观察组吸痰后3 min与吸痰前1 min相比差异有统计学意义（P＜0.05）,而对照组吸痰后3 min与吸痰前1 min相比差异仍有统计学意义（P＜0.05）,观察组并发症明显低于对照组（P＜0.05）.结论 浅层吸痰法可减轻新生儿机体的应激反应,保持较稳定的血液动力学和循环功能,降低气道黏膜损伤、吸痰后烦躁、呕吐及气管插管脱出的发生率,提高了患者的生存质量.

Efficacy observation on the layer suction method in the neonatal intubation

Objective To explore clinical application effect of the shallow sputum suction method in the tracheal intubation newborns.Methods 106 cases of neonatal intensive care,according to admission order number,even number group as the control group with the sequential method,odd for the observation group,53 cases in each group,control group through routine method of sputum aspiration,observation group implemented shallow sputum suction method,and the clinical effects of two groups were compared.Results Two groups＇ sputum suction at the end of the heart rate,breathing,mean arterial pressure and SPO2 and sputum suction compared with those 1 min before the sputum suction,showing difference was statistically significant （P ＜ 0.05）,in the observation group,3 min after sputum suction and sputum suction 1 min before that were compared and showed the was statistical significant difference （P ＜ 0.05）,while the control group 3 min after sputum suction and sputum suction 1 min before you still had a statistical significant difference in complications （P ＜ 0.05）,the observation group was obviously lower than that of control group （all P ＜ 0.05）.Conclusion Shallow sputum suction method can reduce the body＇s stress response,maintain a relatively stable hemodynamics and function of circulation,reduce airway mucosa damage,be agitated,vomiting after sputum suction and the incidence of endotracheal intubation out,improve the quality of life of patients.