CAJ | 학술논문

目的探讨气囊持续充气与定时放气和导管相关性肺炎的关系.方法将60例入住ICU行气管捕管或气管切开超过24 h的成年患者随机分为常规组和实验组各30例.实验组按护理标准在患者置管成功后予导管气囊持续充气;常规组按照护理标准在患者置管成功后,给导管气囊注气并记录时间,每4 h放气1次,保留5 min后再注气;2组气囊充气均按最小容量技术(minimal occlusivevolume,MOV)及其他同等治疗护理.于入院12 h内、拔出导管或转出ICU前分别给予摄床旁X线胸片及进行深部痰细菌培养,并按医院感染诊断标准确定2组导管相关性肺炎的发生情况.结果实验组导管相关性肺炎的发生率明显低于常规组. 结论在病情、治疗方案、气管置管时间无明显差别的前提下,气囊持续充气对ICU气管置管患者的导管相关性肺炎的发生率有明显降低作用.
목적 탐토기낭지속충기여정시방기화도관상관성폐염적관계.방법 장60례입주ICU행기관포관혹기관절개초과24 h적성년환자수궤분위상규조화실험조각30례.실험조안호리표준재환자치관성공후여도관기낭지속충기;상규조안조호리표준재환자치관성공후,급도관기낭주기병기록시간,매4 h방기1차,보류5 min후재주기;2조기낭충기균안최소용량기술(minimal occlusivevolume,MOV)급기타동등치료호리.우입원12 h내、발출도관혹전출ICU전분별급여섭상방X선흉편급진행심부담세균배양,병안의원감염진단표준학정2조도관상관성폐염적발생정황.결과실험조도관상관성폐염적발생솔명현저우상규조. 결론 재병정、치료방안、기관치관시간무명현차별적전제하,기낭지속충기대ICU기관치관환자적도관상관성폐염적발생솔유명현강저작용.
Objective To explore the relationship between the aerocyst continual inflation and clocked deflation and ventilator-associated pneumonia. Methods 60 ICU hospitalized adult patients treated with tracheotomy or trachea canalization for above 24 hours were randomly divided into the tzadi-tional group and the experimental group with 30 patients in each group. After trachea canalization success-fully according to the nursing standard, the experimental group was treated with aerocyst continual inflation, the traditional group gased the ventilator and recorded the time, deflating the gas every 4 hours and inflating again after 5 minutes. The inflation time, nurse management and MOV(minimal occlusive volume)of the two groups were the same. The chest X-rays examination and deep sputum bacilli culture were implemented 12 hours after admission, before pulling out the ventilator and transferring out of ICU to evaluate the inci-dence of ventilator-associated pneumonia according to the infection diagnosis standard. Results The rate of ventilator-associated pneumonia in the experimental group was obviously lower than that of the tradition-al group. Conclusions The rate of ventilator-associated pneumonia reduces obviously in the ICU trachea canalization patients with aerocyst continual inflation.