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目的:探讨排痰护理对重症ICU患者呼吸道通畅的影响。方法:选取台州医院ICU于2015年1月至12月收治的55例重症患者为研究对象,其中30例采用强化排痰护理(观察组),25例采用常规护理(对照组),比较两组排痰效果、呼吸情况、病情以及肺部感染率。结果:观察组护理第2d、第4d、第6d时的排痰量均多于对照组,痰液粘稠程度好于对照组,差异有统计学意义(P<0.05)。观察组的呼吸困难评分低于对照组,护理第2d、第4d、第6d时的APACHEⅡ评分均低于对照组,差异有统计学意义(P<0.05)。观察组肺部感染发生率低于对照组,但无统计学意义(P>0.05)。结论:加强排痰护理有利于ICU患者的痰液排出,保持呼吸道通畅,减少呼吸道并发症。
Objective: To investigate the effect of expectoration nursing on airway patency in critically ill ICU patients. Methods: Fifty-five critically ill patients admitted to ICU of Taizhou Hospital from January to December in 2015 were enrolled in this study. Thirty patients were treated with intensive extubation (observation group) and 25 patients were treated with routine care (control group) Expectoration effect, respiratory condition, condition and lung infection rate. Results: The sputum volume of the observation group was significantly higher than that of the control group on the 2d, 4d and 6d, and the viscosity of sputum was better than that of the control group (P <0.05). The scores of dyspnea in the observation group were lower than those in the control group. The scores of APACHEⅡ on the 2nd, 4th and 6th day of nursing were lower than those of the control group (P <0.05). The incidence of pulmonary infection in observation group was lower than that in control group, but not statistically significant (P> 0.05). Conclusions: Intensive expectoration nursing is conducive to the discharge of sputum in ICU patients, keeping the airway clear and reducing the complication of respiratory tract.