神经外科气管切开病人吸痰方法的探讨

目的]探讨分步吸痰法在神经外科气管切开病人中的应用效果。方法]将80例气管切开病人随机分为对照组和观察组,对照组采用常规吸痰法,观察组采用分步吸痰法。比较两组病人的日吸痰次数、吸痰效果、气道黏膜损伤、不同时间肺部感染、吸痰前和吸痰后5 min血氧饱和度(SpO2)。结果]与对照组比较,观察组日吸痰次数减少,且对气道黏膜损伤小,吸痰后SpO2明显升高,差异有统计学意义(P<0.01)。结论]分步吸痰法在神经外科气管切开病人的护理中,吸痰效果明显优于常规吸痰法,损伤小,并发症少,安全有效。

Probe into suctioning methods neurosurgical patients with tracheotomy

Objective：To probe into application of step suction method for patients with tracheotomy in department of neurosurgery. Methods：A total of 80 cases of patients with tracheotomy were randomly divided into con- trol group and observation group, Control group patients received conventional suction method, the observation group patients used the step - suc- tion method. Then to compare the number of clays suctioning, suction effect,airway mucosal damage, lung infection at different times, oxygen saturation （SpO2） before suctioning and 5 min after suctioning between both groups. Results： Compared with control group, in observation group, the number of days suctioning was reduced,the airway mucosa damage was little,SpO2 after suctioning was significantly increased, the difference was statistically significant （P%0.01）. Conclusion：In nursing care of neurosurgery patients with tracheotomy,suctioning effect of step suction method is much better than that of conventional suction method, and it has less dam- age and fewer complications, it is safe and effective.