摘要
目的探究程序化气道评估在ICU患者人工气道管理中的应用价值.方法选取我院2016年10月-2017年8月收治的106例需进行人工气道管理的ICU患者作为研究对象.将其随机分为实验组(53例)与对照组(53例).实验组给予程序化气道评估指导人工气道管理方法,对照组给予常规人工气道管理方法,比较两组患者的气道湿化满意度、气囊压力合格率、床头抬高合格率以及平均带管时间.结果实验组的气道湿化满意度(88.68%)、气囊压力合格率(92.45%)以及床头抬高合格率(88.68%)均高于对照组(71.70%、77.36%、73.58%),两组比较,差异有统计学意义(P<0.05);实验组患者的平均带管时间为(21.42±2.01)h,少于对照组的(32.16±1.85)h,组间比较,差异有统计学意义(P<0.05).结论采用程序化气道评估指导ICU患者进行人工气道管理,能有效确保气道畅通,缩短带管时间.
Objective To explore the application value of programmed airway assessment in artificial airway management of ICU patients. Methods 106 ICU patients who need artificial airway management from October 2016 to August 2017 were selected as the study subjects. They were randomly divided into experimental group (53 cases) and control group (53 cases). The experimental group was given programmed airway assessment to guide artificial airway management. The control group was given routine artificial airway management. The airway humidification satisfaction, qualified rate of balloon pressure, qualified rate of bed-head elevation and average time of tube-taking were compared between the two groups. Results The satisfactory rate of airway humidification (88.68%), qualified rate of balloon pressure (92.45%) and qualified rate of bed head elevation (88.68%) in the experimental group were higher than those in the control group (71.70%, 77.36%, 73.58%). There was significant difference between the two groups (P < 0.05). The average tube-carrying time of the experimental group was (21.42±2.01) h, which was less than that of the control group (32.16±1.85) h. There was a significant difference between the two groups (P < 0.05). Conclusion The use of programmed airway evaluation to guide ICU patients in artificial airway management can effectively ensure the smooth airway, shorten the time with tube.
作者
蚁晓青
刘玩珊
张雪慧
林少娜
余淑贤
YI Xiaoqing;LIU Wanshan;ZHANG Xuehui;LIN Shaona;YU Shuxian(ICU,Cancer Hospital Affiliated to Shantou University Medical College,Shantou Guangdong 515000,China)
出处
《中国卫生标准管理》
2019年第13期161-163,共3页
China Health Standard Management
关键词
程序化气道评估
重症监护室
人工气道
气囊压力
气道湿化
呼吸
programmed airway evaluation
intensive care unit
artificial airway
balloon pressure
airway humidification
breathing
