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Abstract

This study was designed to determine the effects of saline solution administered prior to endotracheal suctioning by nurses working in intensive care on oxygenation, heart rate and long-term pulmonary hygiene.

The study was carried out on an experimental basis in the Intensive Care Unit of a university hospital in Turkey. A total of 20 patients were included, who were mechanically ventilated because of pulmonary or cardiovascular problems or trauma.

Data were collected using a data form. Each patient was monitored for 5 minutes following suctioning with or without saline solution and findings of heart rate, SpO2, and blood gas measurements were recorded. Data were analysed using percentage calculations, the student's t-test and the Friedman test.

The study showed that most of the patients were between 60 and 69 years and were intubated because of respiratory insufficiency.

Evaluation of blood gases following suctioning with or without saline solution showed partial decreases in pO2, pCO2, HCO3, and oxygen saturation (SaO2), which did not reach a significant level.

No significant difference was found between pH levels recorded prior to and 5 minutes after suctioning without saline solution; however, the increase in pH following suctioning with saline solution was significant.

Patients undergoing suctioning with saline solution exhibited significantly increased heart rates in the fourth and fifth minutes, whereas no increases were detected in these undergoing suctioning without saline solution. SpO2 values obtained by pulse oxymeter did not show significant differences.

Saline solution administered with suctioning resulted in undesirable, although not significant, alterations in oxygen saturation and arterial blood gas levels.

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2 Answers

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  • 9 years ago
    Best Answer

    摘要This 研究的目的是確定之前,吸痰的氧、 心率和長期肺生重症監護護士管理的鹽液的影響。The 研究的土耳其在一所大學醫院重症監護室的實驗基礎上進行了。20 例共包括,誰機械通風肺或心血管問題或創傷。Data 收集了使用資料表單。每個病人已監視 5 分鐘後吸帶或不帶鹽液和心率血氧,結果和血液氣體測量錄。使用百分比的計算、 學生的 t-核對總和弗裡德曼測試資料進行了分析。The 研究表明大部分病人 60 至 69 歲之間,由於呼吸功能不全的插管。血液氣體後吸有無鹽液 Evaluation 顯示 pO2、 pCO2、 HCO3 和氧飽和度 (SaO2),不會達到相當程度的部分跌幅。No 顯著差異被發現之前,錄得的 pH 水準與無鹽液吸引術後的 5 分鐘 ; 後吸引術與鹽液的 ph 值的增加卻很大。Patients 術與鹽液吸在第四和第五次幾分鐘內展示大大增加的率,而不增加了在這些經歷吸引術無鹽液中檢測到。獲得的脈衝 oxymeter 血氧值並沒有出現顯著差異。Saline 解吸的方式管理結果不理想,雖然血氧飽和度及動脈血氣級別不顯著變化。

  • 9 years ago

    抽象

    本研究的目的是確定影響生理鹽水氣管內吸痰管前護士在重症監護工作的氧合,心率和長期性肺生。

    該研究進行了實驗基礎上,在重症監護室的一所大學醫院在土耳其。共20例,其中,誰是因機械通氣肺或心血管問題或創傷。

    資料收集使用數據的形式。每個病人進行監測 5分鐘後吸痰或不生理鹽水和調查結果的心率,血氧飽和度,血氣測量和記錄。數據分析以百分比計算,學生的t檢驗和弗里德曼的考驗。

    研究結果顯示,大部分患者年齡介乎60至69歲,被插管因呼吸功能不全。

    評價吸痰後血氣與生理鹽水或不顯示的部分跌幅,氧分壓,二氧化碳分壓和HCO3,氧飽和度(SaO2),它並沒有達到顯著水平。

    無顯著差異,pH值之間的記錄之前,5分鐘後吸痰無鹽溶液,但pH值的增加,與生理鹽水後吸痰顯著。

    患者進行吸痰與生理鹽水展出明顯增加心率在第四和第五分鐘,而沒有加價發現在這些經歷吸痰沒有生理鹽水。脈搏血氧飽和度值獲得 oxymeter沒有表現出顯著差異。

    管理與鹽溶液吸痰導致不可取的,但不顯著,改建中氧飽和度和動脈血氣水平。

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