本文選題：人工氣道　切入點：氣囊壓力　出處：《中華護(hù)理雜志》2017年08期

【摘要】：目的探討吸痰、翻身、口腔護(hù)理及吞咽對人工氣道氣囊壓力的影響,為更好地進(jìn)行氣囊管理提供依據(jù)。方法應(yīng)用壓力傳感器持續(xù)監(jiān)測氣囊壓力,觀察吸痰、翻身、口腔護(hù)理過程中氣囊壓力的變化,記錄活動前、活動時、活動后5 min、15 min、30 min的氣囊壓力值;另外觀察吞咽對氣囊壓力的影響,觀察時間點為吞咽前、吞咽時、吞咽后1min、5 min、10 min。結(jié)果吸痰時、吸痰后5 min氣囊壓力高于吸痰前,翻身時、翻身后5 min氣囊壓力高于翻身前,口腔護(hù)理時氣囊壓力高于口腔護(hù)理前,吞咽時氣囊壓力高于吞咽前,差異均有統(tǒng)計學(xué)意義(P0.05)。結(jié)論吸痰、翻身、口腔護(hù)理、吞咽會導(dǎo)致氣囊壓力出現(xiàn)短暫性升高,瞬時的壓力增高可能會誤導(dǎo)醫(yī)務(wù)人員對氣囊安全性的判斷,建議在此期間不可盲目調(diào)整氣囊壓力,以免增加漏氣和誤吸的風(fēng)險。
[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.
【作者單位】： 河北醫(yī)科大學(xué)第四醫(yī)院重癥醫(yī)學(xué)科;河北醫(yī)科大學(xué)第四醫(yī)院護(hù)理部;
【分類號】：R473

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