本文關(guān)鍵詞： 重型顱腦損傷 吸痰負壓 吸痰效果 氧動力學 血流動力學　出處：《基因組學與應(yīng)用生物學》2017年05期 　論文類型：期刊論文

【摘要】：探討3種不同的吸痰負壓對重型顱腦損傷患者的影響,以尋找重型顱腦損傷患者最佳的吸痰負壓。選取某三甲醫(yī)院的ICU重癥顱腦損傷患者46例,當患者出現(xiàn)吸痰指征時,分別以3種不同吸痰負壓(-75 mmHg,-150 mmHg,-300 mmHg)對患者行密閉式吸痰,在吸痰前2 min、吸痰后5 min以及吸痰后10 min時記錄患者的氧動力學和血流動力學變化,同時記錄患者的吸痰時間間隔和效果。吸痰負壓為-150 mmHg和-300 mmHg的吸痰效果和吸痰間隔時間要優(yōu)于-75 mmHg的吸痰負壓(p0.05),且吸痰負壓為-150 mmHg時,吸痰的間隔時間最長(78.3±29.8)min;不同吸痰負壓組不同時間點的氧分壓,二氧化碳分壓、收縮壓、舒張壓和平均動脈壓差異有統(tǒng)計學意義(p0.01),且當吸痰負壓是-150 mmHg時、吸痰后5 min和10 min時氧分壓相對于吸痰前有明顯的改善(p=0.00),當吸痰負壓為-300 mmHg時,吸痰后5 min相較于吸痰前收縮壓、舒張壓和平均動脈壓都明顯提高,具有統(tǒng)計學意義(p=0.00)。-150 mmHg的吸痰負壓是安全和有效的適合重型顱腦損傷患者的吸痰負壓。
[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 鹵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.
【作者單位】： 肇慶醫(yī)學高等�？茖W校;
【分類號】：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傷患者的效果比較,基因組學與應(yīng)用

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