摘要
目的探讨剖胸术后无效咳痰病人的有效吸痰方法。方法对3 4例剖胸术后未建立人工气道而清理呼吸道无效的病人,使用手法触诊肺部痰鸣音明确主支气管存在无法咳出的痰,采用自身对照的方法对经鼻插入吸痰管1 5 cm后在病人吸气时将吸痰管迅速插入支气管吸痰,与常规经鼻吸痰的方法进行比较。结果试验组气管吸痰成功率为8 6.0 8%,吸痰有效,痰量多,吸痰后肺部触诊痰鸣音明显消失,常规组支气管吸痰成功率为4 8.9 2%,吸痰量少。2组比较有统计学意义（P〈0.0 1）。结论剖胸术后病人吸气时掌握好吸痰的时机和吸痰的深度可以提高气管吸痰的成功率。
Objective To explore the method of airway sputum suction for the patients with ineffective cough after thoracotomy. Methods By using self-- control study, 34 patients without artificial airway after thoracotomy received normal transnasal airway sputum suction （control group）, and they received airway sputum suction with transnasal tube inserting bronchodilation about 15 cm quickly when inspiring（experimental group）. Results The success rate of airway sputum suction was 86.08% and 48. 92% in experimental group and control group respectively（ P〈0.01）. Conclusions It is suggested that the nurse should select suitable opportunity and the inserting length of transnasal tube to improve the success rate of airway sputum suction.
出处
《现代护理》
2008年第6期744-745,共2页
Modern Nursing
关键词
剖胸术
经鼻导管
吸痰
Thoracotomy
Airway sputum suction
Transnasal tube
Nursing
