摘要
目的探讨心内直视手术拔除气管插管后,清理呼吸道无效小儿的吸痰方法。方法66例患儿随机分为2组:实验组,经鼻或口插入吸痰管至气管内进行吸痰;对照组,采用传统鼻咽部吸痰方法吸痰。比较2组患者吸痰间隔时间、有效率及血氧饱和度。结果实验组吸痰间隔时间较对照组长(P<0.001);实验组吸痰有效率高于对照组(P<0.01)。吸痰前,2组SpO2差异无显著性(P>0.05);吸痰后,实验组SpO2高于对照组(P<0.001)。结论气管内吸痰法效果明显优于传统吸痰法。气管内吸痰法是小儿心外科手术后有效的吸痰方法,它能彻底清除潴留的痰液,改善通气功能,预防肺不张,降低肺部感染,是提高术后患儿生活质量的一项积极、有效的护理措施。
Objective To investigate the way of sputum - suction of the pediatric patients whose respi- ration duct couldn＇t be cleaned after open heart operation. Methods Sixty six pediatric patients were divided equally into two groups： experiment and control group. The patients in experiment group received endotrachea sputum - suction through nasal or oral cavity. The patients in control group received traditional way of sputum - suction. The sputum - suction intrval, effective rate and SpO2 of two groups were observed. Results The sputum interval of experiment was longer than that in control group（ P 〈 0. 001 ）. The effective rate of experiment group was higher than that in control group（ P 〈 0.01 ）. The SpO2 was not different significantly between two groups before sputum- suction（ P 〉 0.05）. It was higher in experiment group than in control group（ P 〈 0.001 ）. Conclusion The effect of endotrachea sputum - suction through nasal or oral cavity was better than that of traditional way of sputum - suction. It is an effective way of sputum - suction for pediatric patients after cardiac operation.It could clean the sputum retention, improve ventilation, prevent atelectasis and reduce lung infection. It is a positive and effective nursing measure which could improve life quality of pediatric patients after cardiac operation.
关键词
心外科
小儿清理呼吸道无效
气管内吸痰法
Cardiac surgery
Children
Uneffective resperation duct clean
Endotrachea sputum - suction method
