CAJ | 학술논문

目的分析密闭式吸痰方法对PEEP患者呼吸机相关性肺炎的影响.方法将65例PEEP患者按住院时间次序分为OS组和CS组,OS组患者按常规操作方法吸痰,CS组患者行密闭式吸痰,比较两组VAP发生率、VAP发生时间及临床肺部感染评分CPIS.结果 CS组患者VAP发生率显著低于OS组(χ2=7.628,P=0.006);CS组患者VAP发生时间较OS组延后(t=6.206,P=0.000).CS组患者CPIS评分在机械通气5 d、7 d后CPIs评分显著低于OS组(t=13.065.P=0.000;t=9.135,P=0.000.结论密闭式吸痰能有效延迟VAP发生时间,降低VAP发生率.
목적 분석밀폐식흡담방법대PEEP환자호흡궤상관성폐염적영향.방법 장65례PEEP환자안주원시간차서분위OS조화CS조,OS조환자안상규조작방법흡담,CS조환자행밀폐식흡담,비교량조VAP발생솔、VAP발생시간급림상폐부감염평분CPIS.결과 CS조환자VAP발생솔현저저우OS조(χ2=7.628,P=0.006);CS조환자VAP발생시간교OS조연후(t=6.206,P=0.000).CS조환자CPIS평분재궤계통기5 d、7 d후CPIs평분현저저우OS조(t=13.065.P=0.000;t=9.135,P=0.000.결론 밀폐식흡담능유효연지VAP발생시간,강저VAP발생솔.
Objective To explore the effect of closed endotracheal suction on ventilator-associated pneumonia (VAP) in patients receiving PEEP. Methods Sixty-five patients receiving PEEP were divided into group OS and group CS based on the time of admission. The patients in group OS received routine suction and those in group CS received closed endotracheal suction. The incidence of VAP, time to onset of VAP, and CPIS were compared between the two groups. Results The incidence of VAP was significantly lower in group CS than in group OS (χ2 = 7.628, P-0.006); time to onset of VAP was delayed in group CS as compared with group OS (t=6.206, P=0.000); CPIS was markedly lower in group CS than in group OS on days 5 and 7 of mechanical ventilation (t = 13.065, P= 0.000; t = 9.135, P= 0.000). Conclusions Closed endotracheal suction can effectively delay the time to onset of VAP and reduce the incidence of the disorder.