摘要
目的探讨不同吸痰方式对预防小儿呼吸机相关性肺炎的效果。方法以我院2011年1月至2013年1月间收治的120例需要行机械通气患儿为研究对象,随机分为观察组与对照组各60例,对照组行常规吸痰方式,观察组先进行声门下吸痰,再进行气管吸痰,比较两组患者呼吸机相关性肺炎发生率、吸痰次数、分泌物出现时间及气道炎性因子水平。结果观察组患者呼吸机相关性肺炎发生率低于对照组,吸痰次数少于对照组,分泌物出现时间晚于对照组,气道炎性反应强度轻于对照组,其差异皆有统计学意义(P<0.05)。结论在小儿使用呼吸机过程中,先使用声门下吸痰的方式,能够有效降低患者发生呼吸机相关性肺炎的危险,减少吸痰次数,延长分泌物出现时间,并降低患者气道炎症反应水平。
Objective To investigate the effect of different sputum suction methods in the prevention of ventilator-associated pneumonia in children. Methods 120 children with the need of mechanical ventilation were divided into the observation group and the control group. The traditional sputum suction method was used in the control group and the improved sputum suction method, which clean the secreta in the hypopharynx firstly, was used in the observation group. The incidence of ventilator-associated pneumonia, frequency of sputum suction, discharge time and the level of airway inflammatory factor were compared between the two groups. Results The incidence of ventilator-associated pneumonia of the observation group was lower than that of the control group （P 〈0.05）. The number of sputum suction of the observation group was less than that of the control group （P〈0.05）. The discharge time of the observation group was later than that of the control group （P〈0.05）, and the level of airway inflammatory factor of the observation group was lower than that of the control group （P 〈0.05）. Conclusions The improved sputum suction method in the prevention of ventilator-associated pneumonia in the children gains satisfaction effect with lower incidence, less sputum suction and milder airway inflammatory response.
出处
《临床医学工程》
2013年第10期1288-1289,共2页
Clinical Medicine & Engineering
关键词
吸痰方式
呼吸机相关性肺炎
儿童
Sputum suction method
Ventilator-associated pneumonia
Children
