高压氧舱内气管切开患者的护理干预研究

目的探讨不同吸痰护理方式对气管切开患者高压氧治疗（HBO）的影响。方法 52例行HBO治疗的气管切开患者分为两组各26例,在对治疗的各个环节进行护理质量管理控制的基础上,A组行气切套管下吸痰,B组行深部吸痰,比较两组生命体征指标、呼吸机相关性肺炎（VAP）及其他并发症情况。结果 A组吸痰间隔时间为（84.2±13.3）min,B组为（37.5±18.2）min,A组吸痰间隔时间明显长于B组（P〈0.05）;A组VAP、其他呼吸道并发症发生率为3.85%、15.38%,B组为30.77%、61.54%,A组VAP、其他并发症发生率低于B组（P〈0.05）。结论行HBO治疗的气管切开患者采用气切套管下吸痰的方式,能够延长吸痰间隔时间,减少VAP及其他并发症发生率。

Nursing intervention for patients with tracheostomy receiving hyperbaric oxygen therapy

Objective To investigate the effect of different sputum suction nursing care on patients with tracheostomy receiving hyperbaric oxygen therapy（HBO）. Methods 52 cases of patients with tracheostomy receiving HBO were divided into 2 groups, both groups were given scientific nursing management of high quality. A group was adopted below tracheostomy tube sputum suction method; B group was adopted deep sputum suction method. The vital signs, incidence rate of ventilator-associated pneumonia（VAP） and other respiratory tract complications were compared. Results Interval time of sputum drainage in A group（84.2±13.3min） was longer than that in B group（37.5±18.2min）（P0.05）; The incidence rate of VAP and other respiratory tract complications in A group（3.85%、15.38%） were lower than those in B group（30.77%、61.54%）（P0.05）. Conclusion Below tracheostomy tube sputum suction method can prolong interval time of sputum suction and reduce incidence rate of VAP and other respiratory tract complications.