开放式与密闭式气管内吸痰对传染病房患者呼吸道感染影响的对比研究

发布时间：2018-05-27 02:27

本文选题：密闭式 + 开放式　；参考：《中华医院感染学杂志》2015年15期

【摘要】：目的探讨开放式与密闭式气管内吸痰对传染病房患者呼吸道感染的影响,为临床选择最佳吸痰方式提供参考依据。方法选取2010年3月-2013年12月医院传染病房呼吸道感染需吸痰患者108例,随机分为对照组50例和观察组58例,观察组采用密闭式气管内吸痰,对照组采用开放式气管内吸痰,对两组患者呼吸道感染治疗效果、并发症的发生率;数据采用SPSS 15.0软件进行分析。结果治疗总有效率观察组患者为86.21%、对照组患者为66.00%;观察组患者无痰液喷出,对照组患者有10例;观察组痰中带血的发生率为17.24%、对照组为36.00%;观察组呼吸道黏膜损伤的发生率为22.41%、对照组为42.00%;以上所有数据两组之间比较,差异均有统计学意义(P0.05)。结论密闭式气管内吸痰效果优于开放式吸痰,提高患者呼吸道感染治疗的有效率,增加安全性,而且操作简便,容易掌握,更易被患者接受。
[Abstract]:Objective to explore the effect of open and closed endotracheal sputum aspiration on respiratory tract infection in patients with infectious diseases, and to provide reference for clinical selection of the best way of sputum aspiration. Methods from March 2010 to December 2013, 108 patients with respiratory tract infection were randomly divided into control group (n = 50) and observation group (n = 58). The observation group was treated with closed endotracheal aspiration and the control group with open endotracheal suction. The results of treatment of respiratory tract infection and the incidence of complications were analyzed by SPSS software 15.0. Results the total effective rate of treatment was 86.21 in the observation group and 66.00 in the control group, and there were 10 patients in the observation group without sputum ejection. The incidence of blood in sputum was 17.24 and 36.00 in control group, 22.41 in observation group and 42.00 in control group. Conclusion the effect of closed endotracheal sputum aspiration is better than that of open endotracheal suction. It can improve the effective rate and safety of patients with respiratory tract infection. It is easy to operate, easy to master and more easily accepted by patients.
【作者单位】：海南省人民医院传染科;
【基金】：海南省卫生厅科技基金资助项目(HW-2012B-029)
【分类号】：R51

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