Analysis of clinical application of sputum suction by fibrous bronchoscopy in neonates with hypoxic ischemic en-cephalopathy
Jiang Li
He Linxi
Abstract：Objective:To compare the difference between the sputum suction by fibrous bronchoscopy and tradi-tional sputum suction method applied for neonates with hypoxic ischemic encephalopathy complicated with re-spiratory failure receiving mechanical ventilation,so as to provide an obj ective basis for the choice of clinical sputum suction nursing methods.Methods:A total of neonates with HIE complicated with respiratory failure in receiving trachea cannula were randomly divided into observation group and control group,30 cases in each, who came from the pediatric intensive care unit in our hospital from March 2012 to October 2014.The patients in control group received the routine sputum suction method,while the patients in observation group received the sputum suction by fibrous bronchoscopy,then to compare the blood gas analysis results,incidence of muco-sal inj ury,incidences of pulmonary infection and pulmonary atelectasis between both groups.Results:The inci-dence of mucosal inj ury,incidences of pulmonary infection and pulmonary atelectasis in observation group were lower than that in control group(P<0.05).The blood gas analysis on the third days,fifth days,seventh days in observation group were better than those in control group(P<0.05).Conclusion:The suction effect of spu-tum suction by fibrous bronchoscopy was more precise and could significantly improve the PaO2 ,PaO2/FiO2 in blood gas analysis,relieve the bronchial mucosa damage,reduce the incidences of lung infection and pulmonary atelectasis,and it was the preferred sputum suction method in the nursing care of this kind of HIE neonates.
Keywords：hypoxic ischemic encephalopathyHIErespiratory failurefibrous bronchoscopysputum suction
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 1841-1843 )