膨肺联合震颤排痰法用于ICU完全依赖呼吸机通气患者中的临床疗效探讨.docVIP

膨肺联合震颤排痰法用于ICU完全依赖呼吸机通气患者中的临床疗效探讨 　　[摘要] 目的 通过探讨膨肺联合震颤排痰法用于ICU完全依赖呼吸机通气患者中的临床疗效，旨在为提高重症患者通气质量提供理论依据。 方法 选择2014年1月～2015年1月在我院ICU治疗完全依赖呼吸机患者136例，随机分为研究组和对照组，对照组患者应用常规护理方式排痰，研究组患者给予膨肺联合震颤排痰法，对比两组患者治疗前后血氧分压、二氧化碳分压、血氧饱和度、呼吸末二氧化碳分压的变化情况，并比较治疗前后气道阻力、肺顺应性、氧合指数的变化情况，同时统计患者24 h排痰量、拔管时间、肺部感染率及肺不张率。 结果 研究组患者治疗后血氧分压为（92.52±1.61）mmHg、二氧化碳分压为（36.62±1.23）mmHg、血氧饱和度为（96.81±2.01）%、呼吸末二氧化碳分压为（47.35±1.14）mmHg，治疗后肺功能指标气道阻力（15.21±1.26）mL?（cmH2O）、肺顺应性（76.36±4.69）mL?（cmH2O）、氧合指数（369.17±8.41） mmHg，均显著优于对照组，差异有统计学意义（P0.05）；24 h排痰量为（24.17±1.36）mL、拔管时间为（4.51±1.29）d、肺部感染率为4.41%、肺不张率为5.88%，均显著优于对照组。 结论 膨肺联合震颤排痰法用于ICU完全依赖呼吸机通气患者能改善肺功能、有效除痰并减少并发症。 　　[关键词] 膨肺；震颤排痰法；ICU；机械通气 　　[中图分类号] R472.9 [文献标识码] B [文章编号] 1673-9701（2015）31-0149-04 　　Application effect of lung inflation combined with tremor sputum elimination method in patients given mechanical ventilation totally depending on ventilator in ICU 　　GAO Yan 　　ICU， Jingdezhen Second Peoples Hospital in Jiangxi Province， Jingdezhen 333000， China 　　[Abstract] Objective To explore the application effect of lung inflation combined with tremor sputum elimination method in patients given mechanical ventilation totally depending on ventilator in ICU， aims to provide theoretical basis for improving the quality of patients with severe ventilation. Methods Selected from January 2014 to January 2015 in our hospital ICU treatment of 136 patients with completely rely on breathing machine， the were random divided into study group and the control group， the control group were treated with routine nursing mode of sputum， the study group were given lung inflation combined with tremor sputum elimination method， compared two groups of patients before and after treatment blood oxygen pressure， carbon dioxide partial pressure， blood oxygen saturation， end-tidal carbon dioxide partial pressure changes， and compared with that of the before and after the airway resistance， lung compliance， oxygenation index changes， and statistics in 24 h sputum volume， drawing tu