中国现代医生
中國現代醫生
중국현대의생
CHINA MODERN DOCTOR
2015年
16期
58-60
,共3页
预防%呼吸机相关性肺炎%新生儿
預防%呼吸機相關性肺炎%新生兒
예방%호흡궤상관성폐염%신생인
Prevention%Ventilator-associated pneumonia%Newborn
目的：研究综合性干预措施对新生儿呼吸机相关性肺炎的影响。方法选取2013年1月~2014年1月在本院NICU进行气管插管机械通气的98例患儿,按1：1配对设计的方法分为观察组49例和对照组49例,观察组患儿采取头高位30o、密闭式吸痰、严格手卫生、口腔护理,使用3 d更换呼吸机管道综合治疗措施。对照组采用常规治疗措施。观察比较两组新生儿的呼吸机相关性肺炎发生率、呼吸机使用时间、住院时间。结果观察组新生儿的呼吸机相关性肺炎发生率10.20%,而对照组的发生率为28.57%,差异有统计学意义,且观察组呼吸机使用时间(60.36±9.23)h明显短于对照组(67.52±8.55)h,观察组住院时间短于对照组(P<0.05)。结论采用头高位30o、密闭式吸痰、严格手卫生、口腔护理,使用3 d更换呼吸机管可以降低呼吸机相关性肺炎发生率,缩短呼吸机使用时间,减少住院时间。
目的：研究綜閤性榦預措施對新生兒呼吸機相關性肺炎的影響。方法選取2013年1月~2014年1月在本院NICU進行氣管插管機械通氣的98例患兒,按1：1配對設計的方法分為觀察組49例和對照組49例,觀察組患兒採取頭高位30o、密閉式吸痰、嚴格手衛生、口腔護理,使用3 d更換呼吸機管道綜閤治療措施。對照組採用常規治療措施。觀察比較兩組新生兒的呼吸機相關性肺炎髮生率、呼吸機使用時間、住院時間。結果觀察組新生兒的呼吸機相關性肺炎髮生率10.20%,而對照組的髮生率為28.57%,差異有統計學意義,且觀察組呼吸機使用時間(60.36±9.23)h明顯短于對照組(67.52±8.55)h,觀察組住院時間短于對照組(P<0.05)。結論採用頭高位30o、密閉式吸痰、嚴格手衛生、口腔護理,使用3 d更換呼吸機管可以降低呼吸機相關性肺炎髮生率,縮短呼吸機使用時間,減少住院時間。
목적：연구종합성간예조시대신생인호흡궤상관성폐염적영향。방법선취2013년1월~2014년1월재본원NICU진행기관삽관궤계통기적98례환인,안1：1배대설계적방법분위관찰조49례화대조조49례,관찰조환인채취두고위30o、밀폐식흡담、엄격수위생、구강호리,사용3 d경환호흡궤관도종합치료조시。대조조채용상규치료조시。관찰비교량조신생인적호흡궤상관성폐염발생솔、호흡궤사용시간、주원시간。결과관찰조신생인적호흡궤상관성폐염발생솔10.20%,이대조조적발생솔위28.57%,차이유통계학의의,차관찰조호흡궤사용시간(60.36±9.23)h명현단우대조조(67.52±8.55)h,관찰조주원시간단우대조조(P<0.05)。결론채용두고위30o、밀폐식흡담、엄격수위생、구강호리,사용3 d경환호흡궤관가이강저호흡궤상관성폐염발생솔,축단호흡궤사용시간,감소주원시간。
Objective To obeserve the influence of comprehensive intervention on ventilator associated pneumonia (VAP) in neonatal iatensive care unit. Methods From January 2013 to January 2014, 98 neonates received intubation and mechanical ventilation in neonatal intensive care unit (NICU) were selected and divided into treatment group and control group by 1:1 matched case-control study. And each group had 49 neonates. Preventive factors of treatment group were included levating patient's head and chest to 30 degrees to the horizontal level, closed endotracheal suction systems, washing hands, intensiving frequency of oral-pharyngeal nursing with thorough suction, changing ventiahor tube after three days. While the control group was given routine intervention. The incidence of VAP, the length of hos-pital stay and ventilator time were measured and compared between two groups. Results Compared with control group, neonates in treatment group had lower incidence of VAP (10.20%v s 28.57%) and shorter ventilator time [(60.36±9.23) h vs (67.52±8.55h)]. There was difference on hospital stay between the two groups(P<0.05). Conclusion The preventive factors including levating patient's head and chest to at least 30 degrees to the horizontal level, closed endotracheal suction systems, washing hands, intensiving frequency of oral-pharyngeal nursing with thorough suction, changing venti-ahor tube after three days can reduce incidence of ventilator-associated pneumonia, shorten ventilator time and length of hospital stay.
