一次性声门下吸引器降低早发呼吸机相关性肺炎的效果观察

发布时间：2018-02-22 13:30

本文关键词： 声门下吸引器呼吸机相关性肺炎治疗效果　出处：《中华医院感染学杂志》2014年19期 　论文类型：期刊论文

【摘要】：目的调查一次性声门下吸引器在气管切开使用声门下吸引的气管套管、机械通气患者中的临床使用效果,以降低早发呼吸机相关性肺炎(VAP)的发生。方法将2012年1-12月入住ICU、行气管切开使用带声门下吸引的气管套管并机械通气的46例患者作为研究对象,按随机数字表分为对照组(常规吸引组)和观察组(一次性声门下吸引器组)各23例,观察比较两组的早发VAP发生率及吸引量,数据采用SPSS13.0统计软件进行分析。结果早发VAP发生率观察组为13.04%、对照组39.13%,两组比较差异有统计学意义(P0.05);机械通气时间、住ICU时间及抗菌药物使用天数观察组为(8.29±4.26)、(22.10±12.903)、(6.73±1.78)d,对照组为(10.95±4.75)、(32.38±17.4)、(9.35±2.21)d,两组差异均有统计学意义(P0.05);住院费用观察组较对照组有减少的趋势,但差异无统计学意义;观察组患者每日声门下吸引量较对照组明显增多,差异有统计学意义(P0.05)。结论一次性声门下吸引器在临床使用中具有良好的效果,能降低早发VAP的发生。
[Abstract]:Objective to investigate the clinical application effect of disposable subglottic attractor in tracheotomy with tracheal cannula drawn by subglottic trachea and mechanical ventilation. In order to reduce the incidence of early ventilator-associated pneumonia (VAP), 46 patients who were admitted to ICU from 2012 to December and underwent tracheotomy with tracheal cannula and mechanical ventilation were studied. According to the random digital table, 23 cases were divided into control group (routine attraction group) and observation group (one-time subglottic attractor group). The incidence and amount of early onset VAP were observed and compared between the two groups. Results the incidence of early onset VAP was 13.04 in the observation group and 39.13 in the control group. The difference between the two groups was statistically significant (P 0.05). The duration of living in ICU and the days of antimicrobial use in the observation group were 8.29 卤4.26, 22.10 卤12.903, 6.73 卤1.78 days, and in the control group, they were 10.95 卤4.75, 32.38 卤2.21 and 9.35 卤2.21 days, respectively (P 0.05). The inpatient expenses in the observation group showed a decreasing trend as compared with the control group, but the difference was not statistically significant. The amount of subglottic suction in the observation group was significantly higher than that in the control group, and the difference was statistically significant (P 0.05). Conclusion the disposable subglottic attractor has a good effect in clinical use and can reduce the incidence of early onset of VAP.
【作者单位】：嘉兴学院附属第一医院ICU;
【基金】：嘉兴市科技局基金资助项目(2011AY1050-4)
【分类号】：R563.1

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