中华护理杂志 ›› 2021, Vol. 56 ›› Issue (1): 69-72.DOI: 10.3761/j.issn.0254-1769.2021.01.011
收稿日期:
2020-01-30
出版日期:
2021-01-15
发布日期:
2021-01-15
通讯作者:
作者简介:
邓水娟:女,本科(硕士在读),护师, E-mail: 基金资助:
DENG Shuijuan,ZHOU Chunlan(),ZHOU Jungui,LIU Yu,ZHOU Zhou,QIAN Dadi
Received:
2020-01-30
Online:
2021-01-15
Published:
2021-01-15
摘要:
目的 探讨人工膨肺技术在颈髓损伤气管切开患者肺康复中的应用效果。 方法 将2017年1月—2019年9月收治的66例颈髓损伤并行气管切开的患者按SPSS系统产生区组随机数字表分为试验组和对照组,每组33例,试验组在雾化吸入、震动排痰、腹部挤压后吸痰等常规肺康复护理的基础上增加人工膨肺技术,对照组采用常规肺康复护理。比较实施肺康复前和实施肺康复4周后两组的肺活量、第1秒用力呼气容积、最大呼气量以及干预期间两组的肺不张发生率。 结果 干预4周后,试验组的肺活量、第1秒用力呼气容量、最大呼气量分别是(4.17±0.70) L、(3.86±0.94) L、(266.67±36.70) L均高于对照组的(3.06±0.73) L、(2.91±0.72) L、(221.73±19.53) L,差异有统计学意义(P<0.05);试验组、对照组的肺不张发生率分别为3.03%、24.24%,两组比较,差异有统计学意义(P<0.05)。 结论 人工膨肺技术应用于颈髓损伤气管切开患者中能够有效提高患者的肺功能,增加患者肺部的顺应性,减少患者肺不张、肺塌陷的发生,明显改善患者肺康复的效果。
邓水娟,周春兰,周君桂,刘瑜,周洲,钱大棣. 人工膨肺技术在颈髓损伤气管切开患者肺康复中的应用[J]. 中华护理杂志, 2021, 56(1): 69-72.
DENG Shuijuan,ZHOU Chunlan,ZHOU Jungui,LIU Yu,ZHOU Zhou,QIAN Dadi. Application of pulmonary rehabilitation technique combined with manual hyperinflation in patients with cervical spinal cord injury after tracheotomy[J]. Chinese Journal of Nursing, 2021, 56(1): 69-72.
[1] | 陈令红, 李薇, 胡铭. 聚焦解决模式在缓解脊髓损伤合并截瘫患者负性情绪中的应用及效果评价[J]. 中华护理杂志, 2016,51(11):1297-1301. |
Chen LH, Li W, Hu M. The effect of solution-focused nursing on self-management and negative emotion in patients with spinal cord injury with paraplegia[J]. Chin J Nurs, 2016,51(11):1297-1301. | |
[2] |
Johnson KG, Hill LJ. Pulmonary management of the acute cervical spinal cord injured patients[J]. Nurs Clin North Am, 2014,49(3):357-369.
DOI URL PMID |
[3] | 李建军, 杨明亮, 杨德刚, 等. “创伤性脊柱脊髓损伤评估、治疗与康复”专家共识[J]. 中国康复理论与实践, 2017,23(3):274-287. |
Li JJ, Yang ML, Yang DG, et al. Expert consensus on evaluation,treatment and rehabilitation of traumatic spinal cordinjury[J]. Chin J Rehabil Theory Pract, 2017,23(3):274-287. | |
Li JJ, Yang ML, Yang DG, et al. Expert consensus on evaluation,treatment and rehabilitation of traumatic spinal cordinjury[J]. Chin J Rehabil Theory Pract, 2017,23(3):274-287. | |
[4] | 周君桂, 黄添容, 刘瑜, 等. 呼吸训练对气管切开患者堵管期间通气潜力及堵管时间的影响[J]. 护理学报, 2018,25(13):60-63. |
周君桂, 黄添容, 刘瑜, 等. 呼吸训练对气管切开患者堵管期间通气潜力及堵管时间的影响[J]. 护理学报, 2018,25(13):60-63. | |
Zhou JG, Huang TR, Liu Y, et al. Effects of respiratory training on ventilation potential and plugging time of patients with tracheotomy during obstruction[J]. J Nurs, 2018,25(13):60-63. | |
Zhou JG, Huang TR, Liu Y, et al. Effects of respiratory training on ventilation potential and plugging time of patients with tracheotomy during obstruction[J]. J Nurs, 2018,25(13):60-63. | |
[5] |
Hodgson C, Carroll S, Denehy L. A survey of manual hyperinflation in Australian hospitals[J]. Aust J Physiother, 1999,45(3):185-193.
DOI URL PMID |
Hodgson C, Carroll S, Denehy L. A survey of manual hyperinflation in Australian hospitals[J]. Aust J Physiother, 1999,45(3):185-193.
DOI URL PMID |
|
[6] |
Paulus F, Binnekade JM, Vroom MB, et al. Benefits and risks of manual hyperinflation in intubated and mechanically ventilated intensive care unit patients:a systematic review[J]. Crit Care, 2012,16(4):R145.
DOI URL PMID |
Paulus F, Binnekade JM, Vroom MB, et al. Benefits and risks of manual hyperinflation in intubated and mechanically ventilated intensive care unit patients:a systematic review[J]. Crit Care, 2012,16(4):R145.
DOI URL PMID |
|
[7] | 刘又宁. 呼吸内科学[M]. 北京:中华医学电子音像出版社, 2016: 5. |
刘又宁. 呼吸内科学[M]. 北京:中华医学电子音像出版社, 2016: 5. | |
Liu YN. Respiratory medicine[M]. Beijing:China Medical Ele-ctronic Audio-visual Publishing House,2016:5. | |
Liu YN. Respiratory medicine[M]. Beijing:China Medical Ele-ctronic Audio-visual Publishing House,2016:5. | |
[8] | 范子英, 周春兰. 体外膈肌起搏器在重度及极重度慢性阻塞性肺疾病患者肺康复中的运用[J]. 解放军护理杂志, 2018,35(6):41-44. |
范子英, 周春兰. 体外膈肌起搏器在重度及极重度慢性阻塞性肺疾病患者肺康复中的运用[J]. 解放军护理杂志, 2018,35(6):41-44. | |
Fan ZY, Zhou CL. Applicaction of external diaphragm pacemaker on pulmonary rehabilitation in patients with severe or very severe COPD[J]. Nurs J Chin PLA, 2018,35(6):41-44. | |
Fan ZY, Zhou CL. Applicaction of external diaphragm pacemaker on pulmonary rehabilitation in patients with severe or very severe COPD[J]. Nurs J Chin PLA, 2018,35(6):41-44. | |
[9] | 张露, 李艳, 曹锋生. 球囊膨肺在气管切开患者肺部并发症防治中的应用[J]. 中国医刊, 2016,51(10):101-104. |
张露, 李艳, 曹锋生. 球囊膨肺在气管切开患者肺部并发症防治中的应用[J]. 中国医刊, 2016,51(10):101-104. | |
Zhan L, Li Y, Cao FS. Application of manual hyperinflation in the prevention and treatment of pulmonary complications in patients with tracheotomy[J]. Chin J Medi, 2016,51(10):101-104. | |
Zhan L, Li Y, Cao FS. Application of manual hyperinflation in the prevention and treatment of pulmonary complications in patients with tracheotomy[J]. Chin J Medi, 2016,51(10):101-104. | |
[10] |
Paulus F, Binnekade JM, Vroom MB, et al. Benefits and risks of manual hyperinflation in intubated and mechanically ventilated intensive care unit patients:a systematic review[J]. Crit Care, 2012,16(4):145.
DOI URL PMID |
Paulus F, Binnekade JM, Vroom MB, et al. Benefits and risks of manual hyperinflation in intubated and mechanically ventilated intensive care unit patients:a systematic review[J]. Crit Care, 2012,16(4):145.
DOI URL PMID |
|
[11] | 崔君霞, 金奕, 于华. 重型颅脑损伤患者气管切开早期采取不同吸痰方式的效果研究[J]. 中华护理杂志, 2013,48(2):124-126. |
崔君霞, 金奕, 于华. 重型颅脑损伤患者气管切开早期采取不同吸痰方式的效果研究[J]. 中华护理杂志, 2013,48(2):124-126. | |
Cui JX, Jin Y, Yu H. The effects of different suctioning methods in patients with severe brain injuries at the early stage of tracheotomy[J]. Chin J Nurs, 2013,48(2):124-126. | |
Cui JX, Jin Y, Yu H. The effects of different suctioning methods in patients with severe brain injuries at the early stage of tracheotomy[J]. Chin J Nurs, 2013,48(2):124-126. | |
[12] | 顾海燕. 60例心脏术后机械通气患者应用人工膨肺吸痰的护理[J]. 中华护理杂志, 2011,46(6):618-619. |
顾海燕. 60例心脏术后机械通气患者应用人工膨肺吸痰的护理[J]. 中华护理杂志, 2011,46(6):618-619. | |
Gu HY. 60 patients with mechanical ventilation after cardiac surgery treated with manual hyperinflation[J]. Chin J Nurs, 2011,46(6):618-619. | |
Gu HY. 60 patients with mechanical ventilation after cardiac surgery treated with manual hyperinflation[J]. Chin J Nurs, 2011,46(6):618-619. | |
[13] |
Naue WS, Forgiarini JL, Dias AS, et al. Chest compression with a higher level of pressure support ventilation:effects on secretion removal,hemodynamics,and respiratory mechanics in patients on mechanical ventilation[J]. J Bras Pneumol, 2014,40(1):55-60.
DOI URL PMID |
Naue WS, Forgiarini JL, Dias AS, et al. Chest compression with a higher level of pressure support ventilation:effects on secretion removal,hemodynamics,and respiratory mechanics in patients on mechanical ventilation[J]. J Bras Pneumol, 2014,40(1):55-60.
DOI URL PMID |
|
[14] | 韩燕, 王清馨, 罗丹, 等. 八段锦对稳定期慢性阻塞性肺疾病患者肺康复影响Meta分析[J]. 护理学报, 2017,24(9):15-19. |
韩燕, 王清馨, 罗丹, 等. 八段锦对稳定期慢性阻塞性肺疾病患者肺康复影响Meta分析[J]. 护理学报, 2017,24(9):15-19. | |
Han Y, Wang QX, Luo D, et al. Influence of baduanjin exercise for rehabilitation of patients with stable COPD:a meta-analysis[J]. J Nurs, 2017,24(9):15-19. | |
Han Y, Wang QX, Luo D, et al. Influence of baduanjin exercise for rehabilitation of patients with stable COPD:a meta-analysis[J]. J Nurs, 2017,24(9):15-19. | |
[13] | 程康耀, 吕伟波, 胡丽, 等. 人工膨肺用于机械通气患者开放式吸痰护理效果的Meta分析[J]. 解放军护理杂志, 2018,35(6):1-7. |
程康耀, 吕伟波, 胡丽, 等. 人工膨肺用于机械通气患者开放式吸痰护理效果的Meta分析[J]. 解放军护理杂志, 2018,35(6):1-7. | |
Cheng KY, Lv WB, Hu L, et al. Effect of manual hyperinflation on open endotracheal suctioning in mechanically ventilated patients:a meta-analysis[J]. Nurs J Chin PLA, 2018,35(6):1-7. | |
Cheng KY, Lv WB, Hu L, et al. Effect of manual hyperinflation on open endotracheal suctioning in mechanically ventilated patients:a meta-analysis[J]. Nurs J Chin PLA, 2018,35(6):1-7. | |
[16] |
Paulus F, Veelo DP, de Nijs SB, et al. Manual hyperinflation partly prevents reductions of functional residual capacity in cardiac surgical patients-a randomized controlled trial[J]. Crit Care, 2011,15(4):R187.
DOI URL PMID |
Paulus F, Veelo DP, de Nijs SB, et al. Manual hyperinflation partly prevents reductions of functional residual capacity in cardiac surgical patients-a randomized controlled trial[J]. Crit Care, 2011,15(4):R187.
DOI URL PMID |
[1] | 韩冬芳, 田甜, 高畅, 张婧珺, 李小妹. 肺结核患者健康促进行为与健康心理控制源关系的混合研究[J]. 中华护理杂志, 2024, 59(9): 1029-1036. |
[2] | 司茜茜, 王莹, 赵福云, 马晓骁, 刘均娥. A型主动脉夹层患者Ⅰ期心肺康复护理方案的构建及应用[J]. 中华护理杂志, 2024, 59(9): 1037-1042. |
[3] | 沈支佳, 陈新宇, 钱志杰, 殷丽梅. 反复低血糖患者血糖管理行为退化特征的混合研究[J]. 中华护理杂志, 2024, 59(9): 1043-1050. |
[4] | 王丽梅, 李露, 李玉霞, 喻鹏, 罗倩, 张翀旎. 糖尿病周围神经病理性疼痛患者运动恐惧现状及影响因素分析[J]. 中华护理杂志, 2024, 59(9): 1051-1056. |
[5] | 丁慧敏, 戴莉敏, 蔡冬青, 杨群. 糖尿病前期患者自我管理潜在剖面分析及影响因素研究[J]. 中华护理杂志, 2024, 59(9): 1057-1064. |
[6] | 刘海婷, 王咏梅, 郑贝贝, 蔡丽丽, 叶林斌, 吴佳芸, 宁丽, 李益民, 陈为霞. 冠心病合并糖尿病患者药物素养自评量表的编制及信效度检验[J]. 中华护理杂志, 2024, 59(9): 1065-1071. |
[7] | 陈丽霞, 施慧, 朱德政, 曾莹. 成人低血糖恐惧评估工具的质量评价[J]. 中华护理杂志, 2024, 59(9): 1072-1079. |
[8] | 中国研究型医院学会过敏医学专业委员会, 中华医学会变态反应分会过敏性疾病护理学组(筹), 中华预防医学会过敏病预防与控制专业委员会, (执笔:王青 刘君 支凡 万文锦 田丰英 霍晓鹏 周文华 杨永仕 王田田 孙劲旅). 变应原特异性免疫治疗皮下注射护理的专家共识[J]. 中华护理杂志, 2024, 59(9): 1080-1083. |
[9] | 李琪, 苏晴晴, 张瑶瑶, 王田田, 吕静, 李亚可, 李海燕. 全膝关节置换患者关节遗忘变化轨迹及影响因素研究[J]. 中华护理杂志, 2024, 59(9): 1084-1090. |
[10] | 刘娅, 刘晓晴, 杨雪凝, 王平, 刘学奎, 罗丹. 结肠镜检查患者肠道准备失败风险预测模型的构建及验证[J]. 中华护理杂志, 2024, 59(9): 1091-1098. |
[11] | 孙晓晴, 张爱霞, 朱珠, 樊雪梅, 梅士娟, 黄欣欣, 丛胜楠, 谢红燕. 分娩心理创伤评估量表的编制及信效度检验[J]. 中华护理杂志, 2024, 59(9): 1099-1105. |
[12] | 谢玉生, 黄蓉蓉, 赵雪, 马蕾, 胡雁, 杨倩, 王乾沙, 明玥. 成人重度烧伤患者肠内肠外营养的证据总结[J]. 中华护理杂志, 2024, 59(9): 1106-1113. |
[13] | 李旭琴, 冯洁惠, 黄昉芳, 俞超, 梁诗雨, 王晓, 李旭芳, 朱含. 1例行机械循环辅助桥接心脏移植患者的术前护理[J]. 中华护理杂志, 2024, 59(9): 1114-1117. |
[14] | 贾晓静, 陈一竹, 许志英, 和霞, 耿超. 1例尿黑酸尿症双膝关节置换术后患者并发急性心肌梗死的护理[J]. 中华护理杂志, 2024, 59(9): 1118-1121. |
[15] | 顾培培, 曾妃, 兰美娟, 梁江淑渊, 郭璐瑶, 蔡凌云, 朱岩, 郭鸽. 肺移植患者衰弱影响因素的Meta分析[J]. 中华护理杂志, 2024, 59(9): 1122-1129. |
阅读次数 | ||||||
全文 |
|
|||||
摘要 |
|
|||||