不同吸痰负压对重型颅脑损伤患者的效果比较

发布时间：2018-01-31 00:12

本文关键词： 重型颅脑损伤吸痰负压吸痰效果氧动力学血流动力学　出处：《基因组学与应用生物学》2017年05期 　论文类型：期刊论文

【摘要】：探讨3种不同的吸痰负压对重型颅脑损伤患者的影响,以寻找重型颅脑损伤患者最佳的吸痰负压。选取某三甲医院的ICU重症颅脑损伤患者46例,当患者出现吸痰指征时,分别以3种不同吸痰负压(-75 mmHg,-150 mmHg,-300 mmHg)对患者行密闭式吸痰,在吸痰前2 min、吸痰后5 min以及吸痰后10 min时记录患者的氧动力学和血流动力学变化,同时记录患者的吸痰时间间隔和效果。吸痰负压为-150 mmHg和-300 mmHg的吸痰效果和吸痰间隔时间要优于-75 mmHg的吸痰负压(p0.05),且吸痰负压为-150 mmHg时,吸痰的间隔时间最长(78.3±29.8)min;不同吸痰负压组不同时间点的氧分压,二氧化碳分压、收缩压、舒张压和平均动脉压差异有统计学意义(p0.01),且当吸痰负压是-150 mmHg时、吸痰后5 min和10 min时氧分压相对于吸痰前有明显的改善(p=0.00),当吸痰负压为-300 mmHg时,吸痰后5 min相较于吸痰前收缩压、舒张压和平均动脉压都明显提高,具有统计学意义(p=0.00)。-150 mmHg的吸痰负压是安全和有效的适合重型颅脑损伤患者的吸痰负压。
[Abstract]:To explore the effect of three different sputum suction negative pressure on patients with severe craniocerebral injury in order to find the best suction negative pressure in severe craniocerebral injury 46 patients with ICU severe craniocerebral injury were selected. When the indication of sputum aspiration appeared, the patients were inhaled with three different negative pressure of sputum suction (-75mmHgGX -150mmHgGN -300mmHg). The changes of oxygen dynamics and hemodynamics were recorded 2 minutes before sputum aspiration, 5 min after sputum aspiration and 10 min after sputum aspiration. At the same time, the time interval and effect of sputum aspiration were recorded. The suction effect and interval time of suction negative pressure of -150 mmHg and -300 mmHg were better than that of -75 mmHg of sucking sputum negative pressure. P0.05). When the negative pressure was -150 mmHg, the interval of sputum aspiration was 78.3 卤29.8 minutes. There were significant differences in oxygen partial pressure, carbon dioxide partial pressure, systolic pressure, diastolic pressure and mean arterial pressure between different sputum suction negative pressure groups at different time points (p 0.01). When the sputum suction pressure was -150 mmHg, the oxygen partial pressure at 5 min and 10 min after sputum aspiration was significantly improved compared with that before sputum aspiration. When the negative sputum pressure was -300 mmHg, the systolic blood pressure, diastolic pressure and mean arterial pressure were significantly increased 5 min after sputum aspiration compared with those before sputum aspiration. The sputum suction negative pressure of p0. 00m. -150 mmHg is safe and effective for severe craniocerebral injury patients.
【作者单位】：肇庆医学高等专科学校;
【分类号】：R651.15
【正文快照】： *通信作者,yalizao@163.comEffects Comparison of Different Sputum Suction Pressure on Patients withSevere Craniocerebral InjuryChen Xiaoxia*Zhaoqing Medical Senior College,Zhaoqing,526020*Corresponding author,yalizao@163.com伤患者的效果比较,基因组学与应用

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