体表定位振动排痰法对机械通气患者排痰护理的效果观察

目的:探讨体表定位振动排痰法在机械通气患者排痰护理中的应用效果。方法:将26例患者随机分为对照组和观察组各13例。对照组使用排痰机在患者肺野体表投射区自然滑动;观察组动态结合患者近期胸部CT或X线检查结果,用标记笔在体表标出痰积区或肺不张区,在肺部病灶的具体位置和范围进行重点排痰。结果:两组振动排痰后的排痰量、呼吸频率、肺部啰音、氧分压及血氧饱和度比较,差异有统计学意义(P<0.01,P<0.05)。结论:体表定位振动排痰法优于盲目的排痰法,可改善呼吸功能,最重要的是减轻了患者的痛苦,缩短了病程。

Observation the nursing effect of body surface location method of vibration sputum expectoration in patients with mechanical ventilation.

Objective：To discuss the application effect on body surface location method of vibration sputum expectoration in patients with mechanical ventilation nursing. Methods ：26 patients Were randomly divided into control group and observation group ,each group have 13 cases. The control group were given sputum ejection machine in the lung in patients with wild natural sliding surface projection area;the observation group dynamics with patients with chest CT or X - ray examination results, marked with a marker pen in the body surface accumulation of phlegm or atelectasis area, focused on the specific location and scope of the pulmonary lesions sputum. Results ：Two sets of vibratory sputum expectoration after pulmonary rile, breathing frequency, amount of oxygen partial pressure and blood oxygen saturation in comparison, differences are statistically significant（ P 〈 0.01, P 〈 0.05 ）. Conclusion ： Surface orientation of vibration sputum elimination method is better than blind sputum elimination method improves respiratory function ,the most important thing was to alleviate the suffering of patients, shortened the course.