Different position row of phlegm for decreasing the time of neurosurgery patients with tracheotomy lien impact study
10.3760/cma.j.issn.1672-7088.2018.23.006
- VernacularTitle:不同体位排痰对缩短神经外科患者气管套管留置时间的影响
- Author:
Yaojuan WANG
1
;
Songmao ZHOU
;
Jingfang SHI
;
Meiqin ZHU
;
Lili ZHANG
;
Zhiying GU
Author Information
1. 226100,江苏省海门市人民医院神经外科
- Keywords:
Phlegm in the sitting position;
Lateral position of phlegm;
Neurosurgery;
Tracheal cannula;
Indwelling time
- From:
Chinese Journal of Practical Nursing
2018;34(23):1788-1791
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the effect of sitting and lateral sputum aspiration on the retention time of tracheal cannula in patients with neurosurgical tracheotomy. Methods Totally 120 cases of neurosurgery tracheotomy in hospitalized patients complicated with pulmonary infection by random number table method, 58 cases were divided into experimental group and control group 62 examples, two groups of patients with sputum top all joint taps to the back of the chest, the experimental group after taps take seat effectively causes cough; In the control group, the lateral position was used to effectively cough or induce cough, and the daily sputum volume of the two groups of patients was observed. To observe the time when the body temperature was restored to normal after the phlegm of the two groups of patients, the time of the lung auscultation, and the time of the tracheal tube retention. Results Implementing position row of phlegm daily sputum volume within a week the experimental group were (44.84±6.85) ml, (44.60±6.80) ml, (43.79±5.98) ml, (44.38±5.42) ml, (42.22±5.45) ml, (38.12±4.77) ml, (36.88±4.57) ml and control group were(36.13±7.34) ml, (35.15±7.34) ml, (36.13±7.34) ml, (37.13±7.34) ml, (37.13±7.34) ml, (32.97±7.17) ml, (31.35±4.36) ml, the difference had statistical significance (t=4.30-7.31, P<0.01);In the two groups, the time of normal body temperature recovery, the time of hearing and the time of the lung and the time spent in the tracheal tube were compared, and the experimental group were respectively (9.93±2.02) d, (32.33±1.50) d, (37.33±1.50) d, while control group were(15.77±1.05) d, (37.63 ± 2.33) d, (42.63 ± 2.33) d, the difference had statistical significance (t=20.04, 14.71, P<0.01). Conclusions It is better to reduce the retention time of tracheal tube in patients with neurosurgical patients than the lateral position.
