CAJ | 학술논문

目的探讨吸痰用具对气管切开患者继发呼吸道感染的影响.方法回顾性分析2008年6月至2009年5月气管切开患者34例(下称第一阶段)与2009年6月至2010年5月气管切开患者30例(下称第二阶段)的资料,比较两阶段患者呼吸道感染致病菌及继发肺炎的差异.结果两阶段第1周感染多重耐药菌株(鲍曼不动杆菌、表皮葡萄球菌、铜绿假单胞菌)的差异有统计学意义(P<0.05);两阶段第2周感染多重耐药菌株(鲍曼不动杆菌、表皮葡萄球菌、铜绿假单胞菌、肺炎克雷伯菌、金黄色葡萄球菌)的差异有统计学意义(P<0.05);第二阶段肺炎并发率明显低于第一阶段,差异有统计学意义(P<0.05).结论做好吸痰用具消毒隔离是降低气管切开患者肺部多重耐药菌感染的重要环节之一.
목적 탐토흡담용구대기관절개환자계발호흡도감염적영향.방법 회고성분석2008년6월지2009년5월기관절개환자34례(하칭제일계단)여2009년6월지2010년5월기관절개환자30례(하칭제이계단)적자료,비교량계단환자호흡도감염치병균급계발폐염적차이.결과 량계단제1주감염다중내약균주(포만불동간균、표피포도구균、동록가단포균)적차이유통계학의의(P<0.05);량계단제2주감염다중내약균주(포만불동간균、표피포도구균、동록가단포균、폐염극뢰백균、금황색포도구균)적차이유통계학의의(P<0.05);제이계단폐염병발솔명현저우제일계단,차이유통계학의의(P<0.05).결론 주호흡담용구소독격리시강저기관절개환자폐부다중내약균감염적중요배절지일.
Objective To explore the influence of sputum aspiration appliance on respiratory tract infection of patients with tracheotomy. Methods 34 patients with tracheotomy from June 2008 to May 2009 (the first stage) and 30 patients with tracheotomy from June 2009 to May 2010 (the second stage) were analyzed retrospectively. The difference of the rates of species of infection pathogens and pneumonia complications in two stages were compared. Results In two stages, there was a significant difference of multiple antibiotic resistant strains respectively in the first week (acinetobacter baumannii, S. epidermidis, Pseudomonas aeruginosa) and in the second week (acinetobacter baumannii, S. epidermidis, Pseudomonas aeruginosa, Klebsiella pneumoniae,Staphylococcus aureus) (P < 0. 05 ). The rates of pneumonia complications in the second stage is lower than the first stage, the difference was significant (P < 0. 05 ). Conclusions It is an important component element tosterilize and isolate the sputum aspirators to decrease the incidence of Pulmonary multiple antibiotic resistant strains infection of patients with tracheotomy.