机械振动排痰联合纤维支气管镜吸痰在重症肺炎吸痰护理中的价值分析

目的分析机械振动排痰联合纤维支气管镜吸痰在重症肺炎吸痰护理中的价值。方法将我院2018年2月至2021年1月86例重症肺炎机械通气患者用随机数字表法分为对照组(纤维支气管镜和常规护理)和观察组(对照组基础上加机械振动排痰、气道优化护理),对比两组呼吸功能指标(PaO₂/FiO₂、PaO₂)、排痰量、住ICU时间、机械通气时间、首次撤机成功率、VAP发生率、护理满意度评分。结果与对照组比较,护理后观察组PaO₂/FiO₂、PaO₂更高,第2天、6天排痰量更多;住ICU时间、机械通气时间更短,首次撤机成功率(90.70%)更高;观察组无VAP,护理满意度评分较对照组更高(P<0.05)。结论纤维支气管镜吸痰和常规护理基础上增加机械通气振动排痰、气道优化护理,能有效改善重症肺炎通气功能,促进康复,降低VAP风险。

Value of Mechanical Vibration Expectoration Combined with Fiberoptic Bronchoscopy in Nursing of Severe Pneumonia

Objective The paper analyzed value of mechanical vibration expectoration combined with fiberoptic bronchoscopy in nursing of severe pneumonia.Methods 86 patients with severe pneumonia undergoing mechanical ventilation from February 2018 to January 2021 in our hospital were randomly and equally divided into control group(fiberoptic bronchoscopy and routine nursing)and observation group(mechanical vibration expectoration,airway optimization nursing were added based on control group),respiratory function indexes(PaO₂/FiO₂,PaO₂),sputum volume,ICU stay,mechanical ventilation time,ventilation time,success rate of first weaning,incidence of VAP,and satisfaction of two groups were compared.Results Compared with control group,PaO₂/FiO₂ and PaO₂ were higher,sputum volume in the next day and the sixth day was more,ICU stay time and mechanical ventilation time were shorter,and success rate of the first weaning(90.70%)was higher;there was no VAP,and nursing satisfaction in observation group was higher(P<0.05).Conclusion Based on fiberoptic bronchoscopy suction and routine nursing,mechanical vibration expectoration and airway optimized nursing can effectively improve ventilation function of severe pneumonia,promote rehabilitation,and reduce risk of VAP.