摘要
目的：探讨综合护理干预对急性脑血管病合并急性肺损伤（ ALI ）患者排痰的效果。方法将115例急性脑血管病合并ALI患者按随机数字表法分为干预组58例和对照组57例。干预组患者实施呼吸训练、痰液诱导及胸部叩击疗法为一体的护理干预；对照组按传统的急性脑血管病合并急性肺损伤常规排痰护理，比较两组排痰效果。结果干预前两组患者血氧饱和度比较，差异无统计学意义（P＞0．05）；干预组患者排痰后血氧饱和度为（96．58±2．31）％，高于对照组的（92．53±2．73）％，差异有统计学意义（t＝8．594，P＜0．01）；干预组患者排痰后PaO2为（81．05±1．23）mm Hg，高于对照组的（77．18±1．37）mm Hg，差异有统计学意义（t＝15．945，P＜0．01）；干预组有效排痰时间、憋喘缓解时间、痰鸣音消失时间、体温恢复正常时间及监护时间分别为（3．57±1．25）h，（5．26±1．53）h，（3．52±1．63）d，（5．32±1．65）d，（7．52±1．67）d，均少于对照组的（5．72±1．52）h，（9．57±2．05）h，（5．93±2．15）d，（7．82±1．87）d，（11．65±2．31）d，差异均有统计学意义（t分别为8．291，12．792，6．781，7．605，11．001；P＜0．01）；干预组有效排痰后呼吸功能恢复总有效率为96．55％，高于对照组的82．46％，差异有统计学意义（χ2＝6．116，P＜0．01）。结论综合护理干预对急性脑血管病合并急性肺损伤患者促进了痰液排除，提高了气体交换效能，改善缺氧状态，缓解憋喘症状，提高治疗效果。
Objective To explore the effect of comprehensive nursing intervention on expectoration in patients with acute cerebral vascular disease combined with acute lung injury （ALI）.Methods One hundred and fifteen patients with acute cerebral vascular disease combined with ALI were randomly divided into the intervention group （ n=58 ） and the control group （ n=57 ） according to random number table .The intervention group received the comprehensive nursing intervention including the breathing exercises , sputum induction and chest percussion therapy , and the control group received the conventional sputum nursing according to the acute cerebral vascular disease combined with ALI , and the effect of expectoration was compared in two groups . Results No difference was found in the oxygen saturation before the intervention in two groups （P＆gt;0.05）. The oxygen saturation is （96.58 ±2.31）% after the expectoration in the intervention group , and was higher than （92.53 ±2.73）% in the control group, and the difference was statistically significant （t=8.594, P＆lt;0.01）.The PaO2 was （81.05 ±1.23） mmHg after the expectoration in the intervention group , and was higher than （77.18 ±1.37） mmHg in the control group, and the difference was statistically significant （t=15.945, P＆lt;0.01）.The time of effective expectoration , alleviating the symptoms of asthma hold , the disappearance of sputum, body temperature returned to normal and ICU monitoring were respectively （3.57 ±1.25） h, （5.26 ± 1.53） h, （3.52 ±1.63） d, （5.32 ±1.65） d, （7.52 ±1.67） d in the intervention group, and were less than （5.72 ±1.52） h, （9.57 ±2.05） h, （5.93 ±2.15） d, （7.82 ±1.87） d, （11.65 ±2.31） d in the control group, and the differences were statistically significant （ t =8.291, 12.792, 6.781, 7.605, 11.001, respectively;P 〈0.01）.The total efficiency of the recovery of respiratory function after the effective expectoration in the intervention group was 96.55%, and was higher than 82.46%in the control group, and the difference was statistically significant （χ2 =6.116, P 〈0.01 ）.Conclusions Comprehensive nursing intervention can promote the expectoration , increase gas exchange efficiency , improve hypoxia as soon as possible, alleviate the symptoms of asthma hold , and enhance the effect of treatment in patients with acute cerebral vascular disease combined with ALI .
出处
《中华现代护理杂志》
2014年第2期170-173,共4页
Chinese Journal of Modern Nursing
关键词
急性肺损伤
脑血管病
排痰
综合护理干预
Acute lung injury
Cerebral vascular disease
Expectoration
Comprehensive nursing intervention
