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高频胸壁振荡排痰系统在ICU有创机械通气排痰中的应用及效果
Observation on the effect of high frequency chest wall oscillatory ventilation system on ICU patients with invasive mechanical ventilation

微创医学 201602期 页码:174-176

作者机构:海南省海口市人民医院 1 重症医学科;2 呼吸内科,海口市570208

基金信息:作者简介:李英(1979~),女,本科,主治医师,研究方向:急危重症诊治。

DOI:DOI:10.11864/j.issn.1673.2016.02.08

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  • 参考文献
目的探讨高频胸壁振荡排痰系统在ICU有创机械通气患者排痰中的应用及效果。方法选取96例行有创机械通气的ICU患者,随机分为观察组和对照组,每组48例。对照组给予振动排痰。观察组给予高频胸壁振荡排痰,比较两组排痰量、生命体征变化、撤机时间及呼吸机相关性肺炎(VAP)发生率。结果观察组排痰量显著高于对照组,两组比较,差异有统计学意义(P<0.05)。排痰后,两组心率、呼吸及收缩压比较,差异无统计学意义(P>0.05);观察组血氧饱和度显著高于对照组,组间比较,差异有统计学意义(P<0.05)。观察组撤机时间显著短于对照组,两组比较,差异有统计学意义(P<0.05)。观察组VAP发生率显著少于对照组,两组比较,差异具有统计学意义(P<0.05)。结论采用高频胸壁振荡排痰系统对ICU有创机械通气患者进行排痰护理,可有效促进排痰,提高血氧饱和度,缩短撤机时间,有效预防VAP。
ObjectiveTo evaluate the effect of high-frequency chest well oscillation expectoration system on ICU patients with invasive mechanical ventilation. MethodsA total of 96 patients stayed in ICU with invasive mechanical ventilation were divided into observation group and control group, 48 cases in each group. Mechanical vibration sputum expectoration was used in control group. High-frequency chest well oscillation expectoration system was used in observation group. The amount of sputum, vital signs, weaning time and ventilator-associated pneumonia (VAP) incidence were compared between the two groups. ResultsThe amount of sputum in observation group was significantly higher than that of control group, the difference was statistically significant(P<0.05). After sputum excretion, the heart rate, breathing and systolic blood pressure of two groups were no statistically significance(P>0.05). The blood oxygen saturation of observation group was significantly higher than that of the control group, the difference was statistically significant(P<0.05). The weaning time of ventilator of observation group was significantly lower than that of the control group, the difference was statistically significant(P<0.05). The VAP incidence of observation group was significantly lower than control group, the difference was statistically significant(P<0.05). ConclusionHigh frequency chest wall oscillation sputum elimination system for ICU invasive mechanical ventilation patients with sputum drainage nursing, can effectively promote the discharge of sputum, improve blood oxygen saturation, shorten the withdrawal time, and could effectively prevent VAP.

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