中外医疗
中外醫療
중외의료
CHINA FOREIGN MEDICAL TREATMENT
2015年
9期
1-2
,共2页
密闭式气管内吸痰%开放式气管内吸痰%呼吸机相关性肺炎
密閉式氣管內吸痰%開放式氣管內吸痰%呼吸機相關性肺炎
밀폐식기관내흡담%개방식기관내흡담%호흡궤상관성폐염
Closed endotracheal suctioning%Open endotracheal suctioning%Ventilator-associated pneumonia
目的：评价不同气管内吸痰方式对降低ICU患者呼吸机相关性肺炎发生率的临床效果。方法选取2010年6月—2013年5月该院ICU行机械通气的患者共计84例,随机分为观察组和对照组,其中观察组42例,采用密闭式气管内吸痰,对照组42例,采用开放式气管内吸痰,观察并比较两组不同气管内吸痰方式通气后支气管肺泡灌洗液培养细菌检出率及两组患者呼吸机相关性肺炎发生率。结果观察组通气后48 h、通气后72 h及停止通气时的呼吸机相关性肺炎的发生率分别为9.52%、16.67%及21.43%,相比于对照组同时段的发生率19.05%、28.57%、35.71%差异有统计学意义(P<0.05)；观察组24、48 h及停止通气时痰培养细菌检出率分别为4.76%、9.52%及23.80%,对照组24 h、48 h及停止通气时痰培养细菌检出率分别为11.90%、21.43%及38.10%,两组患者不同时间段痰液培养细菌检出率相比较差异有统计学意义(P<0.05)；观察组患者总机械通气时间为(60.32±21.23)h,对照组总机械通气时间为(79.15±31.23)h,两组患者总机械通气时间相比差异有统计学意义(P<0.05)。结论针对ICU内行机械通气的患者进行密闭式气管内吸痰可有效预防呼吸机相关性肺炎的发生,减少通气时间,值得在临床上予以推广。
目的：評價不同氣管內吸痰方式對降低ICU患者呼吸機相關性肺炎髮生率的臨床效果。方法選取2010年6月—2013年5月該院ICU行機械通氣的患者共計84例,隨機分為觀察組和對照組,其中觀察組42例,採用密閉式氣管內吸痰,對照組42例,採用開放式氣管內吸痰,觀察併比較兩組不同氣管內吸痰方式通氣後支氣管肺泡灌洗液培養細菌檢齣率及兩組患者呼吸機相關性肺炎髮生率。結果觀察組通氣後48 h、通氣後72 h及停止通氣時的呼吸機相關性肺炎的髮生率分彆為9.52%、16.67%及21.43%,相比于對照組同時段的髮生率19.05%、28.57%、35.71%差異有統計學意義(P<0.05)；觀察組24、48 h及停止通氣時痰培養細菌檢齣率分彆為4.76%、9.52%及23.80%,對照組24 h、48 h及停止通氣時痰培養細菌檢齣率分彆為11.90%、21.43%及38.10%,兩組患者不同時間段痰液培養細菌檢齣率相比較差異有統計學意義(P<0.05)；觀察組患者總機械通氣時間為(60.32±21.23)h,對照組總機械通氣時間為(79.15±31.23)h,兩組患者總機械通氣時間相比差異有統計學意義(P<0.05)。結論針對ICU內行機械通氣的患者進行密閉式氣管內吸痰可有效預防呼吸機相關性肺炎的髮生,減少通氣時間,值得在臨床上予以推廣。
목적：평개불동기관내흡담방식대강저ICU환자호흡궤상관성폐염발생솔적림상효과。방법선취2010년6월—2013년5월해원ICU행궤계통기적환자공계84례,수궤분위관찰조화대조조,기중관찰조42례,채용밀폐식기관내흡담,대조조42례,채용개방식기관내흡담,관찰병비교량조불동기관내흡담방식통기후지기관폐포관세액배양세균검출솔급량조환자호흡궤상관성폐염발생솔。결과관찰조통기후48 h、통기후72 h급정지통기시적호흡궤상관성폐염적발생솔분별위9.52%、16.67%급21.43%,상비우대조조동시단적발생솔19.05%、28.57%、35.71%차이유통계학의의(P<0.05)；관찰조24、48 h급정지통기시담배양세균검출솔분별위4.76%、9.52%급23.80%,대조조24 h、48 h급정지통기시담배양세균검출솔분별위11.90%、21.43%급38.10%,량조환자불동시간단담액배양세균검출솔상비교차이유통계학의의(P<0.05)；관찰조환자총궤계통기시간위(60.32±21.23)h,대조조총궤계통기시간위(79.15±31.23)h,량조환자총궤계통기시간상비차이유통계학의의(P<0.05)。결론침대ICU내행궤계통기적환자진행밀폐식기관내흡담가유효예방호흡궤상관성폐염적발생,감소통기시간,치득재림상상여이추엄。
Objective To evaluate the clinical effect of different endotracheal suctioning ways on reducing the ventilator-associated pneumonia in ICU patients.Methods A total of 84 cases underwent mechanical ventilation in the ICU of our hospital from June 2010 to May 2013 were selected and randomly divided into the observation group and the control group. 42 cases in the observation group were given closed endotracheal suctioning, while 42 cases in the control group were given open endotracheal suctioning. And the bacteria detection rate of cultured bronchoalveolar lavage fluid and the incidence of ventilator-associated pneumonia of the two groups after endotracheal suctioning ventilation were observed and compared.Results After 48 h, 72 h of ventilation and at the time of stopping ventilation, in the observation group, the incidence of ventilation-associated pneumonia was 9.52%, 16.67%, 21.43%, respectively, and that in the control group was 19.05%, 28.57%, 35.71%, respectively, the differences between the two groups were statistically significant(P<0.05). After 48 h, 72 h of ventilation and at the time of stopping ventilation, in the observation group, the bacteria detection rate of cultured bronchoalveolar lavage fluid was 4.76%, 9.52%, 23.80%, respectively, and that in the control group was 11.90%, 21.43%, 38.10%, respectively, the differences between the two groups were statistically significant(P<0.05). The total time of ventilation in the observation group was (60.32±21.23)h, and that in the control group was (79.15±31.23)h, the difference between the two groups was statistically significant(P<0.05).Conclusion For patients with mechanical ventilation in the ICU, closed endotracheal suctioning can effectively prevent the incidence of ventilator-associated pneumonia and shorten the duration of ventilation, which is worthy of clinical promotion.
