本文關(guān)鍵詞： 機(jī)械通氣 膨肺吸痰 矽肺 呼吸衰竭 護(hù)理　出處：《中國(guó)職業(yè)醫(yī)學(xué)》2016年06期 　論文類型：期刊論文

【摘要】：目的探討機(jī)械通氣聯(lián)合膨肺吸痰法治療矽肺合并呼吸衰竭患者的療效及護(hù)理。方法以2013—2016年治療的76例矽肺合并呼吸衰竭患者為研究對(duì)象。采用隨機(jī)數(shù)字表法分為對(duì)照組38例和觀察組38例,對(duì)照組進(jìn)行常規(guī)吸痰和人工氣道護(hù)理;觀察組在對(duì)照組基礎(chǔ)上進(jìn)行膨肺吸痰護(hù)理。治療1周后,比較2組患者氣道阻力、血氧分壓(PaO_2)、血氧飽和度(SaO_2)、呼吸機(jī)相關(guān)性肺炎(VAP)發(fā)生率、病死率、肺不張發(fā)生率的情況。結(jié)果治療前2組患者氣道阻力、PaO_2和SaO_2分別比較,差異均無(wú)統(tǒng)計(jì)學(xué)意義(P0.05)。治療后2組患者分別與治療前同組患者比較,氣道阻力均下降(P0.01),PaO_2和SaO_2均升高(P0.01)。治療后,觀察組患者氣道阻力低于對(duì)照組(P0.01),PaO_2和SaO_2均高于對(duì)照組(P0.01)。與對(duì)照組比較,觀察組患者VAP發(fā)生率、病死率和肺不張發(fā)生率均低于對(duì)照組(P0.05)。結(jié)論機(jī)械通氣聯(lián)合膨肺吸痰法治療矽肺合并呼吸衰竭,有利于降低VAP的發(fā)生率和病死率,改善患者預(yù)后。
[Abstract]:Objective to investigate the curative effect of mechanical ventilation combined with lung dilated suction phlegm treatment and nursing of patients with silicosis complicated with respiratory failure. Methods 2013 2016 treatment of 76 cases of silicosis complicated with respiratory failure patients as the research object. They were randomly divided into control group of 38 cases and 38 cases in the observation group, the control group was given routine sputum aspiration and artificial airway nursing; the observation group in the control group on the basis of lung suctioning care. After 1 weeks of treatment, compared 2 groups of patients with airway resistance, oxygen partial pressure (PaO_2), oxygen saturation (SaO_2), ventilator-associated pneumonia (VAP) incidence rate, mortality rate, incidence rate of pulmonary atelectasis. The treatment results the 2 groups of patients with airway resistance, PaO_2 and SaO_2 respectively, there were no significant differences (P0.05). After treatment, 2 groups of patients before and after treatment respectively with the group of patients, airway resistance decreased (P0.01), PaO_2 and SaO_2 were higher (P0.01). After treatment, the observation group patients Their airway resistance is lower than the control group (P0.01), PaO_2 and SaO_2 were higher than the control group (P0.01). Compared with the control group, the observation group of patients with VAP incidence, mortality and the incidence of atelectasis were lower than the control group (P0.05). Conclusion mechanical ventilation combined with lung dilatedsuction treatment of silicosis complicated with respiratory failure. To reduce the incidence of VAP and mortality, improve the prognosis of patients.

【作者單位】： 中國(guó)醫(yī)科大學(xué)附屬第一醫(yī)院;遼寧中醫(yī)藥大學(xué)附屬醫(yī)院;
【分類號(hào)】：R473.5

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