徒手膨肺联合胸廓振动挤压在机械通气患者开放式吸痰中的应用效果

doi:10.3969/j.issn.1671-7171.2022.07.025

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Abstract 【Objective】 To observe the effect of manual hyperinflation combined with chest vibration extrusion in patients of mechanical ventilation with open sputum aspiration. 【Methods】A total of 128 patients undergoing open sputum aspiration when mechanically ventilated in Shaanxi Provincial People's Hospital from June 2019 to June 2020 were selected, According to the admission of the patients, the patients were divided into the conventional group (with routine sputum discharge) and the joint group, the routine group used the routine sputum discharge care, the combined group used manual hyperinflation combined with the chest vibration extrusion method for sputum discharge, The airway resistance, lung compliance, oxygenation index changes, time to extubation, peripheral sputum discharge, pulmonary infection score (clinical pulmonary infection score, CPIS), atelectasis, and infection-related weaning failure rates were compared between the two groups. 【Results】 The airway resistance, lung compliance and oxygenation index of the two groups were statistically significant before and after the operation (P<0.05). After operation, the airway resistance, extubation time and CPIS score in the combined group were significantly lower than those in the conventional group (P<0.05); lung compliance, oxygenation index, and weekly sputum volume were significantly higher than those in the conventional group (P<0.05) .The incidence of atelectasis and infection related weaning failure in the combined group were significantly lower than those in the conventional group (P<0.05). 【Conclusion】Manual hyperinflation combined with thoracic vibration extrusion is suitable for nursing patients with process of open sputum suction and mechanical ventilation. During operation, it can improve respiratory function, shorten extubation time, promote effective elimination of sputum, and reduce the risk of atelectasis and secondary infection.

Key words： Respiration, Artificial/MT Sputum Suction

Received: 23 December 2021

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R332.3

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http://journal07.magtech.org.cn/yxlcyj/EN/10.3969/j.issn.1671-7171.2022.07.025 OR http://journal07.magtech.org.cn/yxlcyj/EN/Y2022/V39/I7/1051

[1] 丁艳艳,张永祥,薛磊,等. 不同类别COPD患者的肺功能与生存状况的分析[J].医学临床研究,2020,37(5):757-758.
[2] 周君桂,邓水娟,吴红瑛,等. 徒手膨肺联合胸廓震动挤压在重症康复病房气管切开患者中的应用[J].中国康复医学杂志,2018,33(2):141-145.
[3] 詹远长,王萍. 重症肺炎患者机械通气后临床转归的影响因素[J].医学临床研究,2021,38(11):1635-1638.
[4] 郑月月,倪朝民,吴鸣,等. 早期综合肺康复干预对有创机械通气患者呼吸机相关性肺炎的预防效果观察[J].中华物理医学与康复杂志,2019,41(6):453-457.
[5] 中华医学会呼吸病学分会慢性阻塞性肺疾病学组. 慢性阻塞性肺疾病诊治指南(2013年修订版)[J].中国医学前沿杂志(电子版),2014(2):67-79.
[6] 姚绍枢,陈荣昌,杨峰,等. 呼吸训练器对机械通气患者主动咳嗽气道峰压的泄压作用[J].中华结核和呼吸杂志,2020,43(2):136-139.
[7] 刘又宁. 机械通气简史与机械通气相关肺炎[J].中华结核和呼吸杂志,2019,42(12):881-883.
[8] 郝亚兴,王宝玉. 不同吸痰方式对呼吸机相关性肺炎影响的meta分析[J].中华医院感染学杂志,2018,28(5):690-694.
[9] 石岩,任帅,蔡茂林,等. 基于模拟人类自然咳嗽的智能吸痰技术研究[J].机械工程学报,2018,54(20):59-63.
[10] 刘美兰,肖力,肖成伟,等. 密闭式吸痰联合俯卧位通气对重症腺病毒肺炎患儿的影响[J].护理实践与研究,2020,17(8):108-110.
[11] 程康耀,吕伟波,胡丽,等. 人工膨肺用于机械通气患者开放式吸痰护理效果的Meta分析[J].解放军护理杂志,2018,35(6):7-13.
[12] 徐月花,金建芬,汤阿毛,等. 气管切开开放式吸痰患者对人工膨肺吸痰的接受度调查及影响因素分析[J].中华现代护理杂志,2019,25(20):2555-2560.
[13] 应德琴,徐丹. 不同吸痰方式对ICU肺部感染病人吸痰效果及呼吸功能的影响[J].蚌埠医学院学报,2019,44(3):69-71.
[14] 郝亚兴,王宝玉.不同吸痰方式对呼吸机相关性肺炎影响的meta分析[J].中华医院感染学杂志,2018,28(5):690-694.
[15] 李静,杜小杰,李琼茜. 预见性护理在ICU危重患者气管切开人工鼻气道湿化吸痰中的应用[J].护理实践与研究,2019,16(8):34-36.