中国实用医药
中國實用醫藥
중국실용의약
CHINA PRACTICAL MEDICAL
2015年
18期
24-25
,共2页
气管切开术后%呼吸道感染%环境因素%相关性
氣管切開術後%呼吸道感染%環境因素%相關性
기관절개술후%호흡도감염%배경인소%상관성
After tracheotomy%Patients’respiratory tract infection%Environmental factor%Correlation
目的：探讨气管切开术后患者呼吸道感染与环境因素的相关性。方法60例外科行手术治疗的患者，随机分为研究组(气管切开术后患者)和对照组(未进行气管切开术危重患者)各30例，观察两组患者术后第1、3、7天痰液 pH 值改变前后周围的物品、空气、咽部分泌物、护理人员手部带菌情况，对两组患者呼吸道感染发生率、口咽部细菌定植种类及改变情况、病原微生物的发生与分类情况进行观察和比较。结果对照组术后第1、3、7天呼吸道感染的发生率分别为3.3%、26.7%、36.7%，研究组分别为13.3%、40.0%、60.0%，两组相比，差异具有统计学意义(P<0.05)；空气中含有一定数量的铜绿假单胞菌、金黄色葡萄球菌、肺炎克雷伯菌、阴沟杆菌、粘质沙雷菌、中间葡萄球菌，而研究组下呼吸道分泌物中主要菌群检出率均明显高于对照组，差异具有统计学意义(P<0.05)。结论气管切开术后患者呼吸道感染与环境因素密切相关，应引起重视。
目的：探討氣管切開術後患者呼吸道感染與環境因素的相關性。方法60例外科行手術治療的患者，隨機分為研究組(氣管切開術後患者)和對照組(未進行氣管切開術危重患者)各30例，觀察兩組患者術後第1、3、7天痰液 pH 值改變前後週圍的物品、空氣、嚥部分泌物、護理人員手部帶菌情況，對兩組患者呼吸道感染髮生率、口嚥部細菌定植種類及改變情況、病原微生物的髮生與分類情況進行觀察和比較。結果對照組術後第1、3、7天呼吸道感染的髮生率分彆為3.3%、26.7%、36.7%，研究組分彆為13.3%、40.0%、60.0%，兩組相比，差異具有統計學意義(P<0.05)；空氣中含有一定數量的銅綠假單胞菌、金黃色葡萄毬菌、肺炎剋雷伯菌、陰溝桿菌、粘質沙雷菌、中間葡萄毬菌，而研究組下呼吸道分泌物中主要菌群檢齣率均明顯高于對照組，差異具有統計學意義(P<0.05)。結論氣管切開術後患者呼吸道感染與環境因素密切相關，應引起重視。
목적：탐토기관절개술후환자호흡도감염여배경인소적상관성。방법60예외과행수술치료적환자，수궤분위연구조(기관절개술후환자)화대조조(미진행기관절개술위중환자)각30례，관찰량조환자술후제1、3、7천담액 pH 치개변전후주위적물품、공기、인부분비물、호리인원수부대균정황，대량조환자호흡도감염발생솔、구인부세균정식충류급개변정황、병원미생물적발생여분류정황진행관찰화비교。결과대조조술후제1、3、7천호흡도감염적발생솔분별위3.3%、26.7%、36.7%，연구조분별위13.3%、40.0%、60.0%，량조상비，차이구유통계학의의(P<0.05)；공기중함유일정수량적동록가단포균、금황색포도구균、폐염극뢰백균、음구간균、점질사뢰균、중간포도구균，이연구조하호흡도분비물중주요균군검출솔균명현고우대조조，차이구유통계학의의(P<0.05)。결론기관절개술후환자호흡도감염여배경인소밀절상관，응인기중시。
Objective To investigate correlation between patients’respiratory tract infection after tracheotomy and environmental factor. Methods A total of 60 patients undergoing surgical operation were randomly divided into research group (patients after tracheotomy) and control group (critical patients without tracheotomy), with 30 cases in each group. Observation and comparison were made on germ-carrying status of materials, air, pharyngeal secretion and nursing staff before and after pH changes, incidence of respiratory tract infection, type and change of pharyngeal bacterial colonization, occurrence and type of pathogenic microorganism in 1, 3, 7 d after operation of the two groups. Results The control group had incidence of respiratory tract infection in 1, 3, 7 d after operation as 3.3%, 26.7%, and 36.7%, and the research group had that as 13.3%, 40.0% and 60.0%. Their difference had statistical significance (P<0.05). There were pseudomonas aeruginosa, staphylococcus aureus, klebsiella pneumonia, enterobacter cloacae, serratia marcescens, and staphylococcus intermedius in the air. The research group had much higher detection rate of main flora in lower respiration secretion than the control group, and their difference had statistical significance (P<0.05). Conclusion There is a close correlation between patients’respiratory tract infection after tracheotomy and environmental factor, and that is worth attention.
