护理学报 ›› 2020, Vol. 27 ›› Issue (13): 23-26.doi: 10.16460/j.issn1008-9969.2020.13.023
锥形套囊气管导管临床应用研究进展
袁熹娜1,2a, 侯惠如2b, 武淑萍2a, 来纯云2a, 张金秋3, 阚庭1
- 1.中国人民解放军医学院,北京 100853;
2.中国人民解放军总医院第二医学中心 a.呼吸与危重症医学科;b.护理部,北京 100853;
3.中国人民解放军总医院第一医学中心 急诊科,北京 100853
摘要： 目的 分析锥形套囊气管导管的临床应用研究现状,为形成科学、标准的锥形套囊气管导管使用管理规范提供依据。方法 查阅国内外相关文献,从锥形套囊气管导管的临床应用情况、临床应用效果、气囊压力管理等方面进行综述。结果 锥形套囊气管导管近年来逐渐应用于临床,其渐进式的锥形套囊设计具有良好的封闭效果,能够减少微量误吸,有效预防早期呼吸机相关性肺炎的发生。锥形套囊压力管理和护理方法等方面的研究较少,其套囊压力更易产生变化,需加强监测和管理。结论 在现有研究的基础上进一步探讨锥形套囊压力变化的影响因素和监测方法,以形成相应规范,更好地发挥其预防呼吸机相关性肺炎等并发症的作用。可进行锥形套囊可吸引冲洗气管导管的吸引、冲洗方法和效果的临床对照研究。
中图分类号:
- R473.76
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