中国实用护理杂志
中國實用護理雜誌
중국실용호리잡지
Chinese Journal of Practical Nursing
2015年
23期
1733-1736
,共4页
肺炎,呼吸机相关性%试脱机%呼吸机管路%病原菌
肺炎,呼吸機相關性%試脫機%呼吸機管路%病原菌
폐염,호흡궤상관성%시탈궤%호흡궤관로%병원균
Pneumonia,ventilator-associated%Suspension of ventilator%Ventilator pipe%Pathogens
目的 通过对机械通气患者呼吸机相关性肺炎(VAP)发生率及呼吸机管路病原菌检测结果的对比,探讨试脱机患者再次行机械通气时是否需要更换呼吸机管路.方法 选取我院使用呼吸机行机械通气超过48 h、试脱机时间(48±4)h需再次行机械通气的69例患者,按上、下半月入住时间分为2组,A组为需要再次机械通气时更换新的呼吸机管路,B组使用原管路.分别于试脱机时、再次机械通气后连续4d每天采集呼吸机管路出气口标本进行细菌培养计数,观测患者试脱机时、再次机械通气后2、12、24 h及2、3、4d的体温、白细胞总数、中性粒细胞比例等指标;比较2组患者VAP的发生率.结果 再次机械通气后4d2组体温[A组(38.5±1.6)℃,B组(38.4±2.0)℃]、白细胞总数[A组(11.8±3.5)×109/L,B组(12.1±3.7)×109/L]、中性粒细胞比例[A组(0.85±0.16),B组(0.84±0.20)]等指标变化差异无统计学意义,均P＞0.05;2组VAP发生率[A组37.1％(13/35),B组35.3％(12/34)],差异无统计学意义,P＞0.05.结论 呼吸机管路在其使用7d的周期内,患者试脱机后再次机械通气时无需更换呼吸机管路.
目的 通過對機械通氣患者呼吸機相關性肺炎(VAP)髮生率及呼吸機管路病原菌檢測結果的對比,探討試脫機患者再次行機械通氣時是否需要更換呼吸機管路.方法 選取我院使用呼吸機行機械通氣超過48 h、試脫機時間(48±4)h需再次行機械通氣的69例患者,按上、下半月入住時間分為2組,A組為需要再次機械通氣時更換新的呼吸機管路,B組使用原管路.分彆于試脫機時、再次機械通氣後連續4d每天採集呼吸機管路齣氣口標本進行細菌培養計數,觀測患者試脫機時、再次機械通氣後2、12、24 h及2、3、4d的體溫、白細胞總數、中性粒細胞比例等指標;比較2組患者VAP的髮生率.結果 再次機械通氣後4d2組體溫[A組(38.5±1.6)℃,B組(38.4±2.0)℃]、白細胞總數[A組(11.8±3.5)×109/L,B組(12.1±3.7)×109/L]、中性粒細胞比例[A組(0.85±0.16),B組(0.84±0.20)]等指標變化差異無統計學意義,均P＞0.05;2組VAP髮生率[A組37.1％(13/35),B組35.3％(12/34)],差異無統計學意義,P＞0.05.結論 呼吸機管路在其使用7d的週期內,患者試脫機後再次機械通氣時無需更換呼吸機管路.
목적 통과대궤계통기환자호흡궤상관성폐염(VAP)발생솔급호흡궤관로병원균검측결과적대비,탐토시탈궤환자재차행궤계통기시시부수요경환호흡궤관로.방법 선취아원사용호흡궤행궤계통기초과48 h、시탈궤시간(48±4)h수재차행궤계통기적69례환자,안상、하반월입주시간분위2조,A조위수요재차궤계통기시경환신적호흡궤관로,B조사용원관로.분별우시탈궤시、재차궤계통기후련속4d매천채집호흡궤관로출기구표본진행세균배양계수,관측환자시탈궤시、재차궤계통기후2、12、24 h급2、3、4d적체온、백세포총수、중성립세포비례등지표;비교2조환자VAP적발생솔.결과 재차궤계통기후4d2조체온[A조(38.5±1.6)℃,B조(38.4±2.0)℃]、백세포총수[A조(11.8±3.5)×109/L,B조(12.1±3.7)×109/L]、중성립세포비례[A조(0.85±0.16),B조(0.84±0.20)]등지표변화차이무통계학의의,균P＞0.05;2조VAP발생솔[A조37.1％(13/35),B조35.3％(12/34)],차이무통계학의의,P＞0.05.결론 호흡궤관로재기사용7d적주기내,환자시탈궤후재차궤계통기시무수경환호흡궤관로.
Objective To compare the detection results by bacteria pathogenic rate of ventilatorassociated pneumonia (VAP) pipeline and ventilator patients with mechanical ventilation,to investigate whether need to replace the ventilator weaning patients underwent another test of pipeline during mechanical ventilation.Methods This study selected using the ventilation mechanical ventilation for more than 48 hours,try (48 ± 4) hours required to mechanical ventilation in 69 patients.They were divided into two groups according to admission time,group A was in need of replacement ventilation pipeline of new again during mechanical ventilation,group B used the original pipeline.In offline,try again during mechanical ventilation after mechanical ventilation,once daily for 4 days to collect ventilator pipe air outlet samples for bacterial culture counts were observed,while offline,use again after 2 hours,12 hours of ventilator,24 hours,2 days,3 days,4 days of body temperature,white blood cell count,neutrophil classification and other indicators.The incidence of VAP was compared between two groups.Results The temperature,white blood cell count,neutrophil classification were (38.5 ± 1.6)℃,(11.8 ± 3.5)×109/L,0.85±0.16 in group A,while (38.4 ± 2.0) ℃,(12.1 ± 3.7)×109/L,0.84 ± 0.20 in group B,and there were no significant differences between two groups,P＞0.05.The incidence of VAP was 37.1％(13/35) and 35.3％(12/34) in group A and group B,and there was no significant difference,P＞ 0.05.Conclusion There is no necessary for trial offline patients without respiratory infection to change the ventilator pipe when to re-ventilate during the 7 days using period of the ventilator pile.
