4种临床因素对人工气道气囊压力的影响

发布时间：2018-03-30 00:30

本文选题：人工气道　切入点：气囊压力　出处：《中华护理杂志》2017年08期

【摘要】：目的探讨吸痰、翻身、口腔护理及吞咽对人工气道气囊压力的影响,为更好地进行气囊管理提供依据。方法应用压力传感器持续监测气囊压力,观察吸痰、翻身、口腔护理过程中气囊压力的变化,记录活动前、活动时、活动后5 min、15 min、30 min的气囊压力值;另外观察吞咽对气囊压力的影响,观察时间点为吞咽前、吞咽时、吞咽后1min、5 min、10 min。结果吸痰时、吸痰后5 min气囊压力高于吸痰前,翻身时、翻身后5 min气囊压力高于翻身前,口腔护理时气囊压力高于口腔护理前,吞咽时气囊压力高于吞咽前,差异均有统计学意义(P0.05)。结论吸痰、翻身、口腔护理、吞咽会导致气囊压力出现短暂性升高,瞬时的压力增高可能会误导医务人员对气囊安全性的判断,建议在此期间不可盲目调整气囊压力,以免增加漏气和误吸的风险。
[Abstract]:Objective to explore the effect of sputum suction, body turning, oral nursing and swallowing on the pressure of artificial airway airbag, so as to provide the basis for better management of airbag. Methods the pressure sensor was used to continuously monitor the pressure of airbag, observe the suction of sputum and turn over. During oral care, the changes of balloon pressure were recorded before and during the exercise, 5 minutes and 15 minutes after the exercise, and the effects of swallowing on the air bag pressure were also observed, the time points were before and during swallowing. Results the balloon pressure at 5 min after sputum aspiration was higher than that before sputum aspiration, and at 5 min after swallowing, the balloon pressure was higher in oral nursing than before oral nursing, and the air bag pressure in swallowing was higher than that before swallowing. Conclusion sucking sputum, turning over, oral care, swallowing and swallowing can cause transient increase of balloon pressure, which may mislead medical staff to judge the safety of airbag. It is suggested that airbag pressure should not be adjusted blindly during this period to avoid increasing the risk of air leakage and aspiration.
【作者单位】：河北医科大学第四医院重症医学科;河北医科大学第四医院护理部;
【分类号】：R473

【相似文献】