在心脏外科手术后的患者中,气管抽出前与咳强度相关的因素:一个横截面研究
Yan Zhang1, Zheng Lin2,3, Yuhong Chen4
1Department of Intensive Care Medicine, Nanjing First Hospital, Nanjing Medical University, Nanjing, Jiangsu, China.
Nursing in critical care
|January 17, 2025
概括
确定了心脏手术后咳强度降低 (CPF ≤60 L/min) 的患者. 女性性别,肌肉强度低,疼痛水平高等因素与咳强度降低有关,有助于出管风险评估.
科学领域:
- 心胸外科手术 心胸外科手术
- 呼吸系统生理学 呼吸系统生理学
背景情况:
- 心脏外科手术后的气管输出失败与咳强度的减少有关.
- 在这种患者群体中,关于咳强度的数据有限.
研究的目的:
- 在抽出管之前评估心脏手术患者的咳强度.
- 确定影响这些患者咳强度的因素.
主要方法:
- 这是一项对528名心脏开放手术患者的横截面研究.
- 咳峰值流量 (CPF) 测量;≤60 L/min定义为强度降低.
- 进行了单变量和多变量线性回归分析.
主要成果:
- 平均CPF为130.70±50.58L/分钟;14.4%的人强度下降.
- 影响咳强度的因素包括性别,呼吸能力,手术前CPF,肌肉强度,运动和疼痛.
结论:
- 女性性别,较低的肌肉强度,较高的疼痛,较低的手术前CPF和启发能力,以及缺乏运动与咳强度的减少有关.
- 咳强度评估有助于取出管的决定,并确定有针对性的干预措施的高风险患者.
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