国际医药卫生导报2013，Vol.19Issue(16)：2491-2494,4.DOI:10.3760/cma.j.issn.1007-1245.2013.16.016
循证护理在重型颅脑损伤并发急性呼吸窘迫综合征患者机械通气气道湿化和吸痰中的应用
Evidence-based nursing in the application of mechanical ventilation humidification and suctioning in the severe brain injury patients combined with ARDS
摘要
Abstract
Objective To investigate the application effect of evidence-based nursing in the humidification and suctioning severe brain injury patients combined with ARDS.Methods 78 cases of severe brain injury combined with ARDS who had received artificial airway mechanical ventilation in our hospital,were chosen from January 2009 to January 2013 and randomly divided into the observation group with 41 cases,and the control group with other 37 cases.The control group received usual mechanical ventilation nursing and humidification and suctioning,the observation group received the same nursing,and was given extra evidence-based nursing.We compared the incidence of complications and changes of SpO2 after suctioning.Results The incidences of irritating cough,airway bleeding,artificial airway clogging,pulmonary infection in the observation group,were lower than those of the control group (P ＜ 0.05).The SpO2 of observation group when suctioning ending,after suctioning 1 min and 5 min,were also higher than those in the control group (P ＜ 0.05).Conclusion Evidencebased nursing care in the application of mechanical ventilation humidification and suctioning in the severe brain injury patients combined with ARDS,can effectively reduce the complications of mechanical ventilation and the SpO2 decline,and improve the quality of care of nursing staff,and reduce the cost of care.关键词
重型颅脑损伤/急性呼吸窘迫综合征/人工气道/湿化/吸痰/循证护理Key words
Severe brain injury/ Acute respiratory distress syndrome/ Artificial airway/ Humidification/Suctioning/ Evidence-based nursing引用本文复制引用
何靖敏,李倩,周兆兰,陈森彩..循证护理在重型颅脑损伤并发急性呼吸窘迫综合征患者机械通气气道湿化和吸痰中的应用[J].国际医药卫生导报,2013,19(16):2491-2494,4.基金项目
肇庆市2012年5月科技创新计划项目(2012E1717) （2012E1717）
