单侧拍背后吸痰法对机械通气患者临床研究.docVIP

单侧拍背后吸痰法对机械通气患者临床研究 　　【摘要】 目的：探讨机械通气患者采取单侧拍背后吸痰法的效果。方法：选取本院ICU住院的机械通气患者80例患儿作为研究对象，根据入院时间的不同将其均分为两组，每组各40例。对照组采取双侧拍背后吸痰法，试验组采取单侧拍背后吸痰法，观察比较两组患儿的拍背吸痰后痰鸣音消退率、血氧饱和度恢复时间、吸痰次数、吸痰累积时间、肺部感染率、住院时间。结果：试验组的拍背吸痰后鸣音消退率为90.00%，明显高于对照组的67.50%，差异有统计学意义（ 字2=6.05，P0.05）；试验组的肺部感染率为2.50%，明显低于对照组的20.00%，差异有统计学意义（ 字2=4.51，P0.05）。试验组血氧饱和度恢复时间、吸痰累积时间及住院时间均明显短于对照组，吸痰次数明显少于对照组，差异均有统计学意义（P0.05）。结论：机械通气患者采取单侧拍背后吸痰法可缩短患者气管导管和呼吸机分离时间，确保持续不断与有效的供氧，安全性高，值得借鉴。 　　【关键词】 机械通气； 单侧拍背； 双侧拍背； 吸痰法 　　【Abstract】 Objective：To investigate the effect of sputum suction method after unilateral pat on the back for patients with mechanical ventilation.Method：80 children with mechanical ventilation admitted ICU of our hospital were selected as research objects，they were divided into the two groups according to the different time of admission，40 cases in each group.The control group was taken sputum suction method after bilateral pat on the back，the experimental group was taken sputum suction method after unilateral pat on the back.The regression rate of wheezy phlegm after pat back and sputum suction，the recovery time of blood oxygen saturation，sputum suction times，sputum accumulation time，pulmonary infection rate and hospital stay between the two groups were observed and compared.Result：The regression rate of wheezy phlegm after pat back and sputum suction in the experimental group was 90.00%，which was significantly higher than 67.50% in the control group，the difference was statistically significant（ 字2=6.05，P0.05）.The pulmonary infection rate of the experimental group was 2.50%，which was significantly lower than 20.00% of the control group，the difference was statistically significant（ 字2=4.51，P0.05）.The recovery time of blood oxygen saturation，sputum accumulation time and hospital stay in the experimental group were significantly shorter than those in the control group，the sputum suction times of the experimental group was significantly less than that of the control group，the differences were statistically si