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目的分析急性呼吸衰竭患者气管插管前后的护理方法 ,为临床护理气管插管患者提供参考。方法回顾性分析26例急性呼吸衰竭患者的临床资料,根据患者病情需要,采用有效的方法进行气道湿化或吸痰。观察并记录呼吸机各项参数变化和患者的呼吸状态,及时调整通气量和吸氧浓度。结果所有患者病情均在5 d内得到有效控制,通气时间为4~21 d,平均通气时间为(9±4)d。机械通气过程中,无患者出现并发症,1例患者因全身多脏器功能衰竭死亡。结论气管插管治疗急性呼吸衰竭可以有效改善患者的通气状态,对呼吸道进行有效管理,加强基础护理和心理护理,对于预防气管插管并发症的发生具有显著效果。
Objective To analyze the nursing methods before and after tracheal intubation in patients with acute respiratory failure and provide reference for clinical nursing patients with tracheal intubation. Methods Retrospective analysis of 26 cases of acute respiratory failure in patients with clinical data, according to the needs of patients with an effective method of airway humidification or suction sputum. Observe and record the changes of ventilator parameters and the patient’s respiratory status, timely adjustment of ventilation and oxygen concentration. Results All patients were effectively controlled within 5 days. The duration of ventilation was 4 to 21 days and the mean duration of ventilation was (9 ± 4) days. During the mechanical ventilation, no patient developed complications and 1 patient died of systemic multiple organ failure. Conclusion Intratracheal intubation for acute respiratory failure can effectively improve the ventilation of patients, to effectively manage the respiratory tract, strengthen the basic and psychological care, prevention of tracheal intubation complications have a significant effect.