中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2012年
12期
7-9
,共3页
肺炎,呼吸机相关性%声门%抽吸
肺炎,呼吸機相關性%聲門%抽吸
폐염,호흡궤상관성%성문%추흡
Pneumonia,ventilator-associated%Glotlis%Suction
目的 观察持续声门下吸引(CASS)对呼吸机相关性肺炎(VAP)患者的影响.方法 收集150例机械通气患者,记录患者的基本情况,按随机数字表法将其分为对照组(70例)和CASS组(80例).对照组采用常规预防VAP的方法,CASS组在对照组的基础上联合CASS治疗.比较两组患者的基本情况及VAP发生率.结果 两组性别构成、年龄、急性生理学和慢性健康状况Ⅱ评分、近期应用抗生素、气囊压、入住ICU时间、住院时间和病死率比较差异均无统计学意义(P＞0.05),但CASS组呼吸机治疗时间明显短于对照组[(5.2±1.4)d比(7.8±1.2)d,P=0.02],VAP发生率明显低于对照组[22.5％(18/80)比32.9％(23/70),P=0.04].结论 CASS可降低VAP发生率,缩短呼吸机治疗时间.
目的 觀察持續聲門下吸引(CASS)對呼吸機相關性肺炎(VAP)患者的影響.方法 收集150例機械通氣患者,記錄患者的基本情況,按隨機數字錶法將其分為對照組(70例)和CASS組(80例).對照組採用常規預防VAP的方法,CASS組在對照組的基礎上聯閤CASS治療.比較兩組患者的基本情況及VAP髮生率.結果 兩組性彆構成、年齡、急性生理學和慢性健康狀況Ⅱ評分、近期應用抗生素、氣囊壓、入住ICU時間、住院時間和病死率比較差異均無統計學意義(P＞0.05),但CASS組呼吸機治療時間明顯短于對照組[(5.2±1.4)d比(7.8±1.2)d,P=0.02],VAP髮生率明顯低于對照組[22.5％(18/80)比32.9％(23/70),P=0.04].結論 CASS可降低VAP髮生率,縮短呼吸機治療時間.
목적 관찰지속성문하흡인(CASS)대호흡궤상관성폐염(VAP)환자적영향.방법 수집150례궤계통기환자,기록환자적기본정황,안수궤수자표법장기분위대조조(70례)화CASS조(80례).대조조채용상규예방VAP적방법,CASS조재대조조적기출상연합CASS치료.비교량조환자적기본정황급VAP발생솔.결과 량조성별구성、년령、급성생이학화만성건강상황Ⅱ평분、근기응용항생소、기낭압、입주ICU시간、주원시간화병사솔비교차이균무통계학의의(P＞0.05),단CASS조호흡궤치료시간명현단우대조조[(5.2±1.4)d비(7.8±1.2)d,P=0.02],VAP발생솔명현저우대조조[22.5％(18/80)비32.9％(23/70),P=0.04].결론 CASS가강저VAP발생솔,축단호흡궤치료시간.
Objective To observe the infection of continuous aspiration of subglottic secretion(CASS) for patients with ventilator associated pneumonia (VAP).Methods One hundred and fifty VAPpatients under mechanical ventilation whose basical information were recorded were divided into two groupsby random digits table method:control group (70 cases) and CASS group (80 cases).Conventional VAPprevention was taken in control group and CASS group,while CASS therapy was added to CASS group.Results Sex,age,acute physiology and chronic health evaluation Ⅱ score,recent antibiotics usage,airpressure,time in ICU,hospital stay and mortality rate of two groups had no statistical significance (P ＞0.05 ).The time of ventilator treatment of CASS group was obviously shorter than that of control group [ (5.2 ±1.4) d vs.(7.8 ± 1.2) d,P =0.02 ],and VAP incidence was lower than that of control group [ 22.5％ (18/80)vs.32.9％(23/70),P =0.04 ].Conclusion CASS could reduce the incidence of VAP and short the time ofventilator treatment.
