中国医药指南
中國醫藥指南
중국의약지남
CHINA MEDICINE GUIDE
2014年
32期
28-29,30
,共3页
氧气持续雾化湿化%人工气道%肺部感染
氧氣持續霧化濕化%人工氣道%肺部感染
양기지속무화습화%인공기도%폐부감염
Oxygen continued atomization humidiifcation%Artiifcial airway%Lung infection
目的:分析小剂量氧气持续雾化湿化对降低人工气道患者肺部感染的临床疗效,探讨临床降低人工气道患者肺部感染的有效方法。方法选择我院2008年5月至2013年5月住院患者人工气道患者148例,随机分为研究组和对照组,每组各74例。研究组采用持续小剂量氧气持续雾化湿化;对照组采用持续微量泵滴注气道湿化。观察比较两组气道湿化效果及对肺部感染情况的影响。结果研究组湿化效果显著优于对照组,研究组刺激性咳嗽、气道内痰痂形成、气道黏膜出血、痰培养阳性率均低于对照组(P<0.05),具有显著性差异;同对照组相比,气道开通前3d,研究组痰培养阳性率无显著性差异(P>0.05),第5天、第7天、第14天,研究组痰培养阳性率显著降低(P<0.05)。结论采用小剂量氧气持续雾化湿化,可明显降低人工气道患者肺部感染的发生,为人工气道患者肺部感染的临床预防应用提供了有效方法。
目的:分析小劑量氧氣持續霧化濕化對降低人工氣道患者肺部感染的臨床療效,探討臨床降低人工氣道患者肺部感染的有效方法。方法選擇我院2008年5月至2013年5月住院患者人工氣道患者148例,隨機分為研究組和對照組,每組各74例。研究組採用持續小劑量氧氣持續霧化濕化;對照組採用持續微量泵滴註氣道濕化。觀察比較兩組氣道濕化效果及對肺部感染情況的影響。結果研究組濕化效果顯著優于對照組,研究組刺激性咳嗽、氣道內痰痂形成、氣道黏膜齣血、痰培養暘性率均低于對照組(P<0.05),具有顯著性差異;同對照組相比,氣道開通前3d,研究組痰培養暘性率無顯著性差異(P>0.05),第5天、第7天、第14天,研究組痰培養暘性率顯著降低(P<0.05)。結論採用小劑量氧氣持續霧化濕化,可明顯降低人工氣道患者肺部感染的髮生,為人工氣道患者肺部感染的臨床預防應用提供瞭有效方法。
목적:분석소제량양기지속무화습화대강저인공기도환자폐부감염적림상료효,탐토림상강저인공기도환자폐부감염적유효방법。방법선택아원2008년5월지2013년5월주원환자인공기도환자148례,수궤분위연구조화대조조,매조각74례。연구조채용지속소제량양기지속무화습화;대조조채용지속미량빙적주기도습화。관찰비교량조기도습화효과급대폐부감염정황적영향。결과연구조습화효과현저우우대조조,연구조자격성해수、기도내담가형성、기도점막출혈、담배양양성솔균저우대조조(P<0.05),구유현저성차이;동대조조상비,기도개통전3d,연구조담배양양성솔무현저성차이(P>0.05),제5천、제7천、제14천,연구조담배양양성솔현저강저(P<0.05)。결론채용소제량양기지속무화습화,가명현강저인공기도환자폐부감염적발생,위인공기도환자폐부감염적림상예방응용제공료유효방법。
Objective?To analyze low-dose continuous oxygen atomization humidiifcation to reduce the clinical efifcacy of artiifcial lung airway infection, clinically effective method to explore the artiifcial lung infections reduce the patient's airway. Methods?Hospital?from?May?2008?to?May?2013?inpatient?artiifcial airway 148 cases of patients were randomly divided into study group and the control group, 74 cases in each group. Study group continued using continuous low-dose oxygen atomization humidiifcation;the control group continued micro pump infusion airway humidiifcation. Wet effect and impact on?the?lung?infection?in?the?two?groups?were?observed?and?compared?the?airway.?Results?The study group was signiifcantly wet effect than the control group,?the?study?group?irritating?cough,?sputum?formation?airway?,?airway?mucosal?bleeding?,?sputum?culture?positive?rate?than?the?control?group(P<0.05),?with?a?significant?difference?;?compared?with?the?control?group,?three?days?before?the?airway?open?,?study?groups?sputum?culture?positive?rate?was?no?signiifcant difference(P>0.05), the ifrst ifve days, the ifrst seven days, day 14 of the study group sputum culture positive rate was signiifcantly lower(P<0.05).?Conclusion?The use of small doses of oxygen continuous atomization humidiifcation, can signiifcantly reduce the artiifcial lung airway infection, provides an effective method for the artiifcial lung airway infection prevention clinical applications.