CAJ | 학술논문

目的探讨可冲洗式间歇声门下吸引对机械通气患者呼吸机相关性肺炎发生率的影响.方法选取2009年7月至2010年7月收治的需进行机械通气的患者356例作为研究对象.将其随机分为观察组和对照组各178例.对照组患者采用常规气管导管进行机械通气,观察组患者采用可冲洗式间歇声门下吸引气管导管进行机械通气.比较2组患者在机械通气过程中呼吸机相关性肺炎的发生率.并对气囊上滞留物进行目标性监测、病原学检查和药物敏感试验,并对细菌的构成、耐药性进行分析.结果 2组患者在机械通气期间呼吸机相关性肺炎的发生率比较,观察组明显低于对照组.气囊滞留物共检出186株菌株,下呼吸道共检出169株菌株.结论可冲洗式声门下吸引能明显降低机械通气患者并发呼吸机相关性肺炎的概率,值得临床推广应用.
목적 탐토가충세식간헐성문하흡인대궤계통기환자호흡궤상관성폐염발생솔적영향.방법 선취2009년7월지2010년7월수치적수진행궤계통기적환자356례작위연구대상.장기수궤분위관찰조화대조조각178례.대조조환자채용상규기관도관진행궤계통기,관찰조환자채용가충세식간헐성문하흡인기관도관진행궤계통기.비교2조환자재궤계통기과정중호흡궤상관성폐염적발생솔.병대기낭상체류물진행목표성감측、병원학검사화약물민감시험,병대세균적구성、내약성진행분석.결과 2조환자재궤계통기기간호흡궤상관성폐염적발생솔비교,관찰조명현저우대조조.기낭체류물공검출186주균주,하호흡도공검출169주균주.결론 가충세식성문하흡인능명현강저궤계통기환자병발호흡궤상관성폐염적개솔,치득림상추엄응용.
Objective To explore the influence of washable type subglottic attract on incidence of ventilator-associated pneumonia (VAP) in patients with mechanical ventilation. Methods 356 cases in need of mechanical ventilation from July 2009 to July 2010 in our hospital were chosen as the research object.They were randomly divided into the observation group and the control group with 178 cases in each group.The control group was treated with conventional endotracheal tube for mechanical ventilation.The observation group used washable type subglottic endotracheal tube to attract for mechanical ventilation.The VAP rate for the two groups occurred during mechanical ventilation in ventilator was compared.Migration of the dominant bacteria of the subglottic secretion was detected,underwent pathogenic examination and drug sensitivity test. Results The VAP rate was significantly lower in the observation group than that of the control group.186 bacteria strains were detected from subglottic secretion,and 169 were detected from lower respiratory tract. Conclusions Washable type subglottic attract for mechanical ventilation can reduce the risk of ventilator-associated pneumonia for patients with mechanical ventilation significantly,and it is worthy of clinical application.