經鼻气管内全程低负压吸痰法在肺心病急性加重期患者中的应用研究.docVIP

经鼻气管内吸痰法在肺心病急性加重期患者中的应用研究 江月娥 廖鉴能 陈少娟 林志萍 (肇庆市第一人民医院呼吸内科 广东 肇庆 526021） 目的 探讨经鼻气管内吸痰方法在慢性肺心病急性加重期患者中的应用及其吸痰较果。将在我院住院治疗的慢性肺心病急性加重期患者100例随机分为观察组（50例）与对照组（50例）观察组采用经鼻气管内吸痰方法吸痰，对照组采用经鼻腔/口腔直接吸痰法（常规吸痰法）观察两种吸痰方法对24小时吸痰次数和吸痰总量、粘膜损伤的发生及对血氧饱和度和心肌耗氧量的影响。结果：观察组吸痰次数和总量、粘膜损伤的发生及吸痰方法对血氧饱和度和心肌耗氧量的影响与对照组相比均有显著性差异(PO．05)。实验组吸痰后与吸痰前比较HR、SBP和心肌耗氧量显著降低，差异有统计学意义(PO．05) 吸痰后实验组SpO2高于对照组(PO．05) 结论 气管内吸痰法效果明显优于传统吸痰法。能彻底清除潴留的痰液，改善通气功能,减轻吸痰所致的低氧血症和气道黏膜损伤，降低心肌耗氧量，提高血氧饱和度。 关键词　肺心病急性加重期，吸痰；气管内吸痰法；血氧饱和度；心肌耗氧量 The application and efficiency of endotrachea sputum-suction through nasal cavity method of patients with Acute deteriorating phase of Cor—Pulmonal Jiang Yue’e liao jian nen Chen Shaojuan lin zhi ping (Hospital, Zhaoqing, Guangdong 506021) Abstract 　To explore the approach and efficiency of sputum–suction by Tracheal intubation via nasal approach for patients with acute deteriorating phase of cor-pulmonale. Methods A total of 100 cases of patients with acute deteriorating phase of cor-pulmonale were treated in our hospital were randomly divided into the observation group ( 50 cases ) according to medical record number . and the control group (50 cases ) The experimental group received endtrachea sputum – suction through nasal cavity　The control group was sputum drainage through nasal cavity. The control group was sputum drainage through nasal cavity directly.. the time and the quantity of sputum drainage in 24 hours and the effects on blood oxygen saturation and Myocardial oxygen　consumption，MVO2 of the two methods of sputum drainage were observed Result The time and the quantity of sputum drainage in 24 hours，the effect of mucous membrane，and the effects of the two methods of sputum drainage on the blood oxygen saturation and Myocardial oxygen　consumption，MVO2 was significantly different between two methods.(P 0．05) Mucosal injury incidence，Heart rate and systolic pressure and Myocardial oxygen consumption of patients in experimental group after suctioning