CAJ | 학술논문

目的：探讨集束化气道管理在格林-巴利综合征（GBS）患者预防医院获得性肺炎（HAP）中的应用效果。方法：将神经内科重症监护病房（N - ICU）2012年9月~2014年8月间入院的28例重症 GBS 患者作为观察组，采取集束化气道管理；将2010年8月~2012年7月间入院的23例重症 GBS 患者未进行集束化气道干预的作为对照组。评价集束化气道管理预防重症 GBS 患者 HAP 的有效性。结果：观察组 HAP 发生率、发生 HAP 的时间、机械通气的治疗时间、N - ICU 住院时间与对照组比较差异有统计学意义（P ＜0.05）。结论：集束化气道管理能有效预防重症 GBS 患者 HAP 的发生。
목적：탐토집속화기도관리재격림-파리종합정（GBS）환자예방의원획득성폐염（HAP）중적응용효과。방법：장신경내과중증감호병방（N - ICU）2012년9월~2014년8월간입원적28례중증 GBS 환자작위관찰조，채취집속화기도관리；장2010년8월~2012년7월간입원적23례중증 GBS 환자미진행집속화기도간예적작위대조조。평개집속화기도관리예방중증 GBS 환자 HAP 적유효성。결과：관찰조 HAP 발생솔、발생 HAP 적시간、궤계통기적치료시간、N - ICU 주원시간여대조조비교차이유통계학의의（P ＜0.05）。결론：집속화기도관리능유효예방중증 GBS 환자 HAP 적발생。
Objective:To explore the application effect of bundle nursing management of airway in the prevention of hospital acquired pneumonia of patients with Guillain - Barrie Syndrome(GBS). Methods:28 patients with GBS in hospital N - ICU(from September 2012 to August 2014)were taken as the observation group and the bundle nursing management of airway was adopted in this group;other 23 pa-tients with GBS in hospital N - ICU(from August 2010 to July 2012)were taken as the control group and were not provided bundle nurs-ing intervention of airway. The effectiveness of bundle nursing management of airway was evaluated in the prevention of hospital acquired pneumonia(HAP). Results:There were statistically significant differences in the comparison of the incidence and occurrence time of HAP,duration of mechanical ventilation and length of stay in N - ICU between the two groups(P < 0. 05). Conclusion:The bundle nursing management of airway can effectively prevent the occurrence of HAP in patients with GBS in N - ICU.