持续声门下引流预防呼吸机相关性肺炎的效果观察

发布时间：2018-03-03 04:20

本文选题：声门下引流　切入点：呼吸机相关性肺炎　出处：《现代预防医学》2014年18期 　论文类型：期刊论文

【摘要】：目的观察持续声门下引流预防呼吸机相关性肺炎(VAP)的效果。方法对某院综合ICU科室收治的200例经口气管插管行机械通气(MV)患者病例随机分为试验组和对照组。试验组为持续声门下引流组,对照组为常规气道护理,未行持续声门下引流组。两组患者在年龄、性别、病情严重程度方面比较差异均无统计学意义。观察两组患者发生VAP的例数,并记录机械通气时间和住院时间,所得研究数据通过SPSS11.5软件包进行统计、分析。结果在两组患者机械通气时间和平均住院时间比较差异无统计学意义(P0.05)的情况下,试验组104例,VAP发生率为4.80%,对照组96例,VAP发生率为21.90%,差异有统计学意义(P0.05)。结论在机械通气时间和平均住院时间无差异的背景下,持续声门下引流可明显降低气囊上滞留物的下移,可以明显减少和延迟呼吸机相关性肺炎的发生。
[Abstract]:Objective to observe the effect of continuous subglottic drainage on the prevention of ventilator-associated pneumonia (ICU). The test group was the continuous subglottic drainage group. There was no significant difference in age, sex and severity between the two groups in terms of age, sex and severity of the disease. The number of patients with VAP in the two groups was observed. Mechanical ventilation time and hospitalization time were recorded and analyzed by SPSS11.5 software package. Results there was no significant difference in mechanical ventilation time and average hospitalization time between the two groups (P 0.05). The incidence of VAP was 4.80 in the test group and 21.90 in the control group (P 0.05). Conclusion under the background of no significant difference in mechanical ventilation time and average hospitalization time, continuous subglottic drainage can significantly reduce the downward shift of air bag retention. It can significantly reduce and delay the occurrence of ventilator-associated pneumonia.
【作者单位】：宁夏医科大学总医院;
【基金】：宁夏回族自治区卫生厅科研项目(2012041)
【分类号】：R563.1

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