CAJ | 학술논문

目的：探讨免拆式呼吸回路－湿化水罐在机械通气患儿中的应用效果。方法机械通气患儿共130例，观察组67例选用某品牌MR850型免拆式呼吸回路－湿化水罐，对照组63例选用传统呼吸机回路－湿化水罐。对组装步骤、接管时间、导管相关性肺炎发生率、意外脱管进行比较研究。结果两种回路使用比较显示，观察组管道组装时间为（25±5）秒，对照组为（70±10）秒，P＜0．01；观察组意外脱管2例，脱管率为1．81％，对照组意外脱管6例，脱管率为5．61％，两组比较P＜0．01，呼吸机相关性肺炎发生率观察组为8．96％，对照组为14．29％，两组比较P＜0．05。结论免拆式呼吸回路－湿化水罐与传统呼吸回路－湿化水罐相比较，组装步骤少，接管时间短，在意外脱管率及导管相关性肺炎发生率方面更低。
목적：탐토면탁식호흡회로－습화수관재궤계통기환인중적응용효과。방법궤계통기환인공130례，관찰조67례선용모품패MR850형면탁식호흡회로－습화수관，대조조63례선용전통호흡궤회로－습화수관。대조장보취、접관시간、도관상관성폐염발생솔、의외탈관진행비교연구。결과량충회로사용비교현시，관찰조관도조장시간위（25±5）초，대조조위（70±10）초，P＜0．01；관찰조의외탈관2례，탈관솔위1．81％，대조조의외탈관6례，탈관솔위5．61％，량조비교P＜0．01，호흡궤상관성폐염발생솔관찰조위8．96％，대조조위14．29％，량조비교P＜0．05。결론면탁식호흡회로－습화수관여전통호흡회로－습화수관상비교，조장보취소，접관시간단，재의외탈관솔급도관상관성폐염발생솔방면경저。
Objective To explore the application effect of disassembly free breathing circuit -humidification water tank in the children with mechanical ventilation.Methods A total of 130 cases of patients with mechanical ventilation, the 67 cases in observation group used a certain brand of MR850 type dismantle free breathing circuit-humidification water tank, and the other 63 cases in the control group adopted the traditional ventilator circuit-humidification water tank.The assembly steps, over time, ventilator-associated pneumonia occurrence rate and accident tube off of the two groups were compared.Results The pipe assembly time in observation group was 25 ±5seconds, and it was 70 ±10 seconds in the control group.2 cases of accidental decannulation occurred in observation group, decannulation rate was 1.81%, 6 cases of accidental decannulation occurred in control group, decannulation rate was 5.61%.The incidence of ventilator-associated pneumonia was 8.96% in the observation group, however, it was 14.29% in the control group.All the differences were statistically significant (P<0.01or 0.05).Conclusions The disassembly free breathing circuit-humidification water tank with less assembly steps and over time, lower accidental decannulation rate and ventilator-associated pneumonia incidence.