Application of timed, step-by-step and segmented sputum suction in airway management of patients with inhalation injury
10.3760/cma.j.cn115682-20200507-03183
- VernacularTitle:定时分步分段吸痰法在吸入性损伤患者气道管理中的应用
- Author:
Shujun WANG
1
;
Hongyan LU
;
Yan ZHANG
;
Chunting MA
;
Dengfen ZENG
;
Ya SI
;
Lihua CHEN
;
Ti ZHOU
;
Chuanan SHEN
Author Information
1. 解放军总医院第四医学中心烧伤整形科，北京 100048
- Keywords:
Burns;
Inhalation Injury;
Sputum aspiration;
Pulmonary infection
- From:
Chinese Journal of Modern Nursing
2020;26(30):4171-4175
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the application effect of timed, step-by-step and segmented sputum suction in airway management of patients with inhalation injury.Methods:From January 2017 to December 2019, 104 patients with inhalation injury admitted to the Department of Burns and Plastic Surgery, the Fourth Medical Center of the PLA General Hospital were selected as research objects. A non-randomized controlled study was adopted, and the patients were divided into control group ( n=49) and experimental group ( n=55) according to the single and even day of admission. The control group received the routine sputum suction, and the experimental group received the method of timed, step-by-step and segmented sputum suction. We compared the general information, incidence of lung infection and the number of daily sputum suction of patients between the two groups. Results:There was no statistically significant difference in the general information of patients between the two groups ( P>0.05) . The incidence of lung infection in the experimental group was 29.09% (16/55) , which was lower than 51.02% (25/49) in the control group with a statistically significant difference ( P<0.05) . In the experimental group, the number of daily sputum suction for patients with tracheotomy was 6 (3, 6) times, the number of daily sputum suctions for patients without tracheotomy was 1 (1, 2) times, and the number of daily sputum suctions for patients with severe inhalation injury was (6.56±2.96) times, which were less than 14 (11, 19) , 3 (3, 7) , (15.40±3.75) times respectively in the control group, and the differences were statistically significant ( P<0.01) . Conclusions:The timed, step-by-step and segmented sputum suction can reduce the number of sputum suctions for patients with inhalation injury and the workload of nursing, and effectively decrease the rate of lung infection, which is worthy of clinical promotion.
