[1]常红霞,王助衡,郭清华,等.封闭和开放吸痰方法对ICU机械通气患者 疼痛和躁动影响的比较[J].医学信息,2018,31(15):94-96.[doi:10.3969/j.issn.1006-1959.2018.15.029]
　CHANG Hong-xia,WANG Zhu-heng,GUO Qing-hua,et al.Comparison of Effects of Closed and Open Suction Methods on Pain and Agitation in ICU Patients with Mechanical Ventilation[J].Journal of Medical Information,2018,31(15):94-96.[doi:10.3969/j.issn.1006-1959.2018.15.029]
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封闭和开放吸痰方法对ICU机械通气患者 疼痛和躁动影响的比较()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
31卷
期数:
2018年15期
页码:
94-96
栏目:
临床研究
出版日期:
2018-08-01

文章信息/Info

Title:
Comparison of Effects of Closed and Open Suction Methods on Pain and Agitation in ICU Patients with Mechanical Ventilation
文章编号:
1006-1959（2018）15-0094-03
作者:
常红霞; 王助衡; 郭清华; 周冠华
首都医科大学大兴教学医院重症医学科，北京 102600
Author(s):
CHANG Hong-xia; WANG Zhu-heng; GUO Qing-hua; ZHOU Guan-hua
Department of Critical Care Medicine,Daxing Teaching Hospital,Capital Medical University,Beijing 102600,China
关键词:
吸痰; 机械通气; 疼痛; 躁动
Keywords:
Key words：Suction; Mechanical ventilation; Pain; Agitation
分类号:
R472
DOI:
10.3969/j.issn.1006-1959.2018.15.029
文献标志码:
A
摘要:
目的 比较封闭和开放两种吸痰方法对ICU机械通气患者疼痛和躁动的影响。方法 研究对象为2017年5月~12月在首都医科大学大兴教学医院ICU接受机械通气治疗的60例患者。本研究采取单中心、随机对照试验设计的临床研究，采用随机数字表将纳入的患者分到封闭吸痰组和开放吸痰组，每组30例。封闭吸痰为试验组，开放吸痰为对照组。在吸痰操作之前、过程中、结束后即刻、结束后5 min、结束后20 min分别进行行为疼痛评分和Richmond镇静躁动评分。结果 两组的BPS和RASS评分在吸痰操作后均有增高，两种吸痰方法所引起的疼痛和躁动水平增加的幅度基本相同,差异无统计学意义（P＞0.05）。结论 上述两种吸痰方法对ICU机械通气患者疼痛和躁动的影响无显著差异，可能需要更大样本量的研究来证明。
Abstract:
Abstract：Objective To compare the effects of closed and open suction methods on pain and agitation in ICU patients with mechanical ventilation.Methods The study subjects were 60 patients who underwent mechanical ventilation at the ICU of Daxing Teaching Hospital of Capital Medical University from May to December 2017.This study used a single-center,randomized controlled trial design clinical study,using a random number table to include patients in the closed sucking group and open sucking= group,30 patients in each group.The closed sucking was the experimental group,and the open sucking was the control group. Behavioral pain scores and Richmond sedation scores were performed before,during,and immediately after the end of the inhalation procedure,5 min after the end,and 20 min after the end.Results The BPS and RASS scores of the two groups increased after sucking operation.The increase of pain and agitation caused by the two methods was basically the same,but the difference was not statistically significant(P>0.05).Conclusion There is no significant difference in the effects of the above two methods of suction on pain and agitation in ICU patients,which may require a larger sample size study.

参考文献/References:

[1]商云云,李晓琳.规范性护理在重症监护室呼吸机相关肺炎患者中的应用[J].临床合理用药杂志,2017(01):122-123.
[2]何开源,罗振吉,王朝辉,等.重症监护病房患者呼吸机相关性肺炎病原学及耐药性分析[J].临床肺科杂志,2017(01):138-141.
[3]吴兰花.ICU病房呼吸机相关性肺炎的预防措施与护理[J].中国社区医师,2016(32):139，141.
[4]张晓梅,陈晓艳.2种机械排痰法在人工气道患者中排痰护理的应用比较[J].实用临床医药杂志,2016(22):83-86.
[5]简晓贞,赖丹凤.探讨重症监护室呼吸机相关性肺部感染的危险因素分析[J].慢性病学杂志,2016(10):1141-1143.
[6]张国芹,张云,王梅花.ICU呼吸机相关性肺炎的护理对策[J].当代临床医刊,2016(05):2578.
[7]Mohammadpour A,Amini S,Shakeri M T,et al.Comparing the effect of open and closed endotracheal suctioning on pain and oxygenation in post CABG patients under mechanical ventilation[J].Iranian Journal of Nursing&Midwifery Research,1900,20(2):195-9.
[8]Ozden D.Effects of open and closed suction systems on the haemodynamic parameters in cardiac surgery patients[J].Nursing in Critical Care,2015,20(3):118-125.
[9]Evans J,Syddall S,Butt W,et al.Comparison of open and closed suction on safety,efficacy and nursing time in a paediatric intensive care unit[J].Australian Critical Care,2014,27(2):70-74.

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更新日期/Last Update: 2018-08-01