首次口腔护理时间对气管插管患者早发性呼吸机相关肺炎发生率的影响

发布时间：2018-04-17 07:07

本文选题：气管插管 + 口腔护理　；参考：《护士进修杂志》2016年06期

【摘要】：目的探讨首次口腔护理时间对气管插管患者早发性呼吸机相关肺炎(VAP)发生率的影响。方法将入住我院ICU的120例经口气管插管患者随机均分为三组,分别在气管插管后4h内(含4h)、4~8h(含8h)、8~12h(含12h)介入首次口腔护理。比较三组患者早发性呼吸机相关肺炎发生率、机械通气时间、入住ICU时间和病死率等指标。结果三组患者的机械通气时间、入住ICU时间差异有统计学意义,早发性呼吸机相关肺炎发生率、病死率差异无统计学意义。但是,随着首次口腔护理时间的向后推迟,患者的早发性呼肺炎机相关发生率和病死率逐渐升高。结论在插管后4h内介入首次口腔护理,可降低患者的早发性呼吸机相关肺炎发生率与病死率,缩短机械通气时间、入住ICU时间,改善患者预后。
[Abstract]:Objective to investigate the effect of the first oral nursing time on the incidence of early ventilator-associated pneumonia (VAP) in patients with tracheal intubation.Methods one hundred and twenty patients with orotracheal intubation in ICU were randomly divided into three groups. The first oral nursing intervention was performed within 4 hours after tracheal intubation (including 4h, 4h, 8h, 812h, including 12h).The incidence of early ventilator-associated pneumonia, the time of mechanical ventilation, the time to stay in ICU and the mortality were compared among the three groups.Results there were significant differences in the time of mechanical ventilation and ICU in the three groups, but there was no significant difference in the incidence and mortality of premature ventilator-associated pneumonia.However, with the delay of the first oral care, the incidence and mortality of early pneumonitis increased gradually.Conclusion the first oral nursing intervention within 4 hours after intubation can reduce the incidence and mortality of early ventilator-associated pneumonia, shorten the time of mechanical ventilation, stay in ICU, and improve the prognosis of patients.
【作者单位】：天津医科大学研究生院;济宁医学院附属医院;
【分类号】：R473

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