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气管内清吸拔管技术在低出生体重儿机械通气中的应用

谢春莲 钟世冰 陈彩云 廖欢 黄桂兰 钟海莉 叶菁

赣南医学院学报2024,Vol.44Issue(6):607-609,3.
赣南医学院学报2024,Vol.44Issue(6):607-609,3.DOI:10.3969/j.issn.1001-5779.2024.06.010

气管内清吸拔管技术在低出生体重儿机械通气中的应用

Application of endotracheal catheterization in mechanical ventilation of low birth weight infants

谢春莲 1钟世冰 1陈彩云 1廖欢 1黄桂兰 1钟海莉 1叶菁1

作者信息

  • 1. 赣州市妇幼保健院新生儿科,江西 赣州 341000
  • 折叠

摘要

Abstract

Objective:To explore the application effect of endotracheal suction and extubation technology in low birth weight infants with mechanical ventilation.Methods:From August 2022 to August 2023,80 low birth weight infants who needed invasive mechanical ventilation in our hospital were selected as the research objects.They were randomly divided into control group and observation group,with 40 cases in each group.The control group was given conventional tracheal intubation nursing bundle,and the conventional extubation method was used when the tracheal tube was extubated.The observation group was treated with endotracheal suction and extubation on the basis of routine nursing of the control group.The general data of the two groups were compared,and the changes of blood oxygen saturation,respiration and heart rate after extubation,the times of sputum block suction during extubation,the times of repeated intubation,and the times of sputum block suction after weaning were observed and recorded.Results:After extubation,SPO2 was higher(P<0.05),R and HR were more stable(P<0.05)in the observation group,and the number of sputum aspiration in the observation group was significantly more than that in the control group(P<0.05).The number of repeated intubation in the observation group was significantly lower than that in the control group(P<0.05).After weaning,the observation group had significantly more times of sputum aspiration than the control group(P<0.05).Conclusion:Endotracheal suction and extubation technology can effectively remove large particles of respiratory secretions,reduce the number of repeated intubation after tracheal tube extubation,promote the successful removal of invasive ventilator in children,and help reduce the pain of children.

关键词

气管插管拔除/婴儿,出生时低体重/呼吸,人工

Key words

Airway extubation/Infant,low birth weight/Respiration,artifical

分类

医药卫生

引用本文复制引用

谢春莲,钟世冰,陈彩云,廖欢,黄桂兰,钟海莉,叶菁..气管内清吸拔管技术在低出生体重儿机械通气中的应用[J].赣南医学院学报,2024,44(6):607-609,3.

基金项目

江西省卫生健康委员会科技计划项目(202312042) (202312042)

赣南医学院学报

1001-5779

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