不同湿化液带菌率及对下呼吸道感染影响的研究

发布时间：2018-01-14 09:37

本文关键词：不同湿化液带菌率及对下呼吸道感染影响的研究　出处：《中华医院感染学杂志》2015年13期 　论文类型：期刊论文

【摘要】：目的研究扶舒清氧气湿化液与蒸馏水带菌率及其对下呼吸道感染的影响,用以规范临床氧气湿化液的应用,减少医院感染的发生率。方法选取2012年10月-2013年10月入院救治并需吸氧的160例患者,根据随机数字表法分为试验组和对照组各80例,其中试验组应用扶舒清作为吸氧湿化液,湿化器材6d更换1次,对照组应用蒸馏水作为吸氧湿化液,每天更换湿化器材1次,连续监测5d;两组患者均每天收集痰液做细菌培养,比较扶舒清与蒸馏水的带菌率及两组患者下呼吸道感染发生率。结果 5d检测湿化液带菌率试验组分别为0、0、0、0、3.75%,对照组分别为55.00%、51.25%、53.75%、53.75%、48.75%,两组湿化液带菌率比较差异有统计学意义(P0.05);两组湿化液共检出623株病原菌,其中铜绿假单胞菌居多152株占24.40%;试验组患者无下呼吸道感染病例,对照组患者发生下呼吸道感染9例,感染率11.25%。结论扶舒清氧气湿化液的带菌率相对较低,引起的下呼吸道感染发生率低,建议临床选择扶舒清作为氧气湿化液。
[Abstract]:Objective to study the bacterial rate of oxygen humidification solution and distilled water in Fushuqing and its effect on lower respiratory tract infection in order to standardize the clinical application of oxygen humidification solution. Methods A total of 160 patients who were admitted to hospital from October 2012 to October 2013 and needed oxygen were divided into test group and control group according to random number table method. The test group used Fushuqing as oxygen absorption humidification liquid, the humidification equipment was replaced once for 6 days, and the control group used distilled water as oxygen absorption humidification liquid. The humidification equipment was replaced once a day, and monitored continuously for 5 days. Two groups of patients collected sputum every day for bacterial culture, compared the bacterial rate between Fushuqing and distilled water and the incidence of lower respiratory tract infection in the two groups. In the control group, 55.00% was 51.25% and 53.75% was 53.75%. There was significant difference between the two groups in the rate of carrying bacteria in the humidified solution (P 0.05). 623 strains of pathogenic bacteria were detected in the humidification solution of the two groups, among which 152 strains of Pseudomonas aeruginosa accounted for 24.40 strains. There were no cases of lower respiratory tract infection in the test group and 9 cases in the control group with the infection rate of 11.25.Conclusion the bacterial rate of the oxygen humidification solution of Fushuqing is relatively low. The incidence of lower respiratory tract infection is low. It is recommended that Fushuqing be used as oxygen humidification solution.
【作者单位】：南阳医学高等专科学校;
【基金】：河南省卫生厅重点基金资助项目(HW-2012B-030)
【分类号】：R56
【正文快照】： 氧气湿化液的选择是氧疗研究中的重点,因湿化液中难免有细菌寄生,湿化液带菌量的多少直接影响到氧疗患者发生呼吸道感染的概率[1-2]。现就扶舒清氧气湿化液与蒸馏水带菌率及其对患者下呼吸道感染的影响分析如下。1资料与方法1.1临床资料选取2012年10月-2013年10月入院救治并需

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