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目的浅析脑出血颅骨钻孔引流术后实施人工气道患者的膨肺吸痰护理方法及效果。方法对2015年9月至2016年9月本院收治的80例脑出血颅骨钻孔引流术后实施人工气道吸痰患者进行观察,采用随机数字表法将采分为护理组和参照组各40例,护理组采用常规吸痰及护理,参照组采用膨肺吸痰护理,观察两组患者吸痰后心率、颅内压、血氧饱和度水平,肺部感染、肺不张发生率。结果参照组血氧饱和度明显低于护理组,参照组心率、颅内压明显高于护理组,差异有统计学意义(P<0.05);护理组肺部感染、肺不张发生率明显低于参照组(P<0.05)。结论对于采用颅骨钻孔引流术后人工气道治疗的脑出血患者,膨肺吸痰迅速提高吸痰效果及安全性,值得在脑出血患者中推广。
Objective To analyze the nursing methods and results of nursing patients with artificial airway suctioning for lungs after skull drainage and drainage of cerebral hemorrhage. Methods From September 2015 to September 2016 in our hospital, 80 patients with cerebral hemorrhage after skull drainage were treated with artificial airway suctioning were observed. The random number table was used to divide the patients into nursing group and reference group 40 cases, the nursing group using conventional suction and nursing, the reference group with suction lungs suction nursing, two groups were observed after aspiration heart rate, intracranial pressure, oxygen saturation level, pulmonary infection, the incidence of atelectasis. Results The blood oxygen saturation of the reference group was significantly lower than that of the nursing group and the reference group, and the intracranial pressure was significantly higher in the reference group than in the nursing group (P <0.05). The incidence of pulmonary infection and atelectasis in the nursing group was significantly lower In the reference group (P <0.05). Conclusion For patients with intracerebral hemorrhage treated with artificial airway drainage after skull drilling and drainage, swelling and suctioning sputum rapidly improve the suctioning effect and safety, which is worth to be popularized in patients with cerebral hemorrhage.