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目的探讨改良吸痰法在康复科气管切开患者中的应用效果。方法 24例气管切开的患者随机分为对照组和研究组,各12例。对照组采用传统深部吸痰法,研究组采用改良吸痰法。观察2组干预前后血氧饱和度、心率、呼吸变化,比较2组吸痰导致气道黏膜损伤及刺激性咳嗽发生率。结果干预后研究组心率和呼吸改善优于对照组,差异有统计学意义(P<0.05或P<0.01);研究组气道黏膜损伤和刺激性咳嗽发生率均低于对照组,但差异无统计学意义(P>0.05)。结论改良吸痰法安全有效,对降低气管黏膜损伤和刺激性咳嗽发生具有积极意义。
Objective To explore the application of modified suction method in tracheotomy patients of rehabilitation department. Methods Totally 24 cases of tracheotomy patients were randomly divided into control group and study group, 12 cases in each group. The control group with the traditional deep suction method, the study group using modified suction method. Oxygen saturation, heart rate and respiratory changes were observed before and after the intervention in two groups, and the incidence of airway mucosal injury and irritating cough were compared between two groups. Results The improvement of heart rate and respiration in the study group was better than that in the control group (P <0.05 or P <0.01). The incidence of airway mucosal lesion and irritating cough in the study group was lower than that in the control group, but the difference was not significant Statistical significance (P> 0.05). Conclusion Modified suction method is safe and effective, and it has a positive effect on reducing tracheal mucosal injury and irritating cough.