中国实用护理杂志
中國實用護理雜誌
중국실용호리잡지
CHINESE JOURNAL OF PRACTICAL NURSING
2015年
10期
730-734
,共5页
插管法,气管内%护理%肺炎,呼吸机相关性%改良
插管法,氣管內%護理%肺炎,呼吸機相關性%改良
삽관법,기관내%호리%폐염,호흡궤상관성%개량
Intubation,intratracheal%Nursing care%Pneumonia,ventilator-associated%Modify
目的 评价气管导管改造和护理改良对预防机械通气患者呼吸机相关性肺炎(ventilatorassociated pneumonia,VAP)的效果.方法 检索PubMed、中国期刊全文数据库(CNKI)两大数据库,根据纳入标准提取文献信息,归类信息,统计数据.结果 共纳入46篇临床研究文献,6篇实验室研究文献.数据分析显示,聚氨酯气囊[23.809％(35/147)]、镀银导管[4.830％ (37/766)]、声门下吸引导管[19.492％(759/3 894)]、声门下间断吸引法[13.603％(256/1 882)]VAP的发生率低于聚氯乙烯气囊[40.179％(45/112)]、非镀银导管[7.537％(56/743)]、普通导管[45.733％(1 088/2 379)]和声门下连续吸引法[25.000％(503/2 012)],两两比较差异有统计学意义,P＜0.05;同种材质气囊中圆柱形组VAP的发生率为25.000％(8/32),锥形组VAP的发生率为21.875％(7/32),2组比较差异无统计学意义.结论 国内外学者对气管导管的改造和对导管护理的改良可以有效降低VAP的发生率.
目的 評價氣管導管改造和護理改良對預防機械通氣患者呼吸機相關性肺炎(ventilatorassociated pneumonia,VAP)的效果.方法 檢索PubMed、中國期刊全文數據庫(CNKI)兩大數據庫,根據納入標準提取文獻信息,歸類信息,統計數據.結果 共納入46篇臨床研究文獻,6篇實驗室研究文獻.數據分析顯示,聚氨酯氣囊[23.809％(35/147)]、鍍銀導管[4.830％ (37/766)]、聲門下吸引導管[19.492％(759/3 894)]、聲門下間斷吸引法[13.603％(256/1 882)]VAP的髮生率低于聚氯乙烯氣囊[40.179％(45/112)]、非鍍銀導管[7.537％(56/743)]、普通導管[45.733％(1 088/2 379)]和聲門下連續吸引法[25.000％(503/2 012)],兩兩比較差異有統計學意義,P＜0.05;同種材質氣囊中圓柱形組VAP的髮生率為25.000％(8/32),錐形組VAP的髮生率為21.875％(7/32),2組比較差異無統計學意義.結論 國內外學者對氣管導管的改造和對導管護理的改良可以有效降低VAP的髮生率.
목적 평개기관도관개조화호리개량대예방궤계통기환자호흡궤상관성폐염(ventilatorassociated pneumonia,VAP)적효과.방법 검색PubMed、중국기간전문수거고(CNKI)량대수거고,근거납입표준제취문헌신식,귀류신식,통계수거.결과 공납입46편림상연구문헌,6편실험실연구문헌.수거분석현시,취안지기낭[23.809％(35/147)]、도은도관[4.830％ (37/766)]、성문하흡인도관[19.492％(759/3 894)]、성문하간단흡인법[13.603％(256/1 882)]VAP적발생솔저우취록을희기낭[40.179％(45/112)]、비도은도관[7.537％(56/743)]、보통도관[45.733％(1 088/2 379)]화성문하련속흡인법[25.000％(503/2 012)],량량비교차이유통계학의의,P＜0.05;동충재질기낭중원주형조VAP적발생솔위25.000％(8/32),추형조VAP적발생솔위21.875％(7/32),2조비교차이무통계학의의.결론 국내외학자대기관도관적개조화대도관호리적개량가이유효강저VAP적발생솔.
Objective To evaluate the efficacy of modification and care improvement in endotracheal tubes (ETTs) to prevent ventilator associated pneumonia (VAP) in patients receiving mechanical ventilation (MV).Methods PubMed,China National Knowledge Infrastructure (CNKI) were searched,literature information was extracted and classified according to the inclusion criteria,the data were statistically analyzed.Results Totally 46 clinical research articles and 6 laboratory research articles were involved,the data showed that polyurethane (PU) cuff [23.809％ (35/147)],silver-coated ETTs [4.830％ (37/766)],subglottic drainage duct [19.492％ (759/3 894)],discontinuous subglottic drainage[13.603％ (256/1 882)] were associated with a decreased incidence of VAP compared with polyvinyl (PVC) cuff [40.179％ (45/112)],non-silver-coated ETTs [7.537％ (56/743)],conventional ETTs[45.733％ (1 088/2 379)],continuous subglottic drainage [25.000％ (503/2 012)],the differences in the incidence of VAP were statistically significant,respectively,P＜ 0.05.The incidence of VAP in cylindrical PU cuff was 25.000％ (8/32),the tapered PU cuff was 21.875％ (7/32),the difference in the incidence of VAP was not statistically significant.Conclusions The modification of the ETTs and the care improvement can effectively reduce the incidence of VAP.
