摘要
目的探讨综合密闭式吸痰及开放式吸痰预防有创机械通气(MV)患者呼吸机相关性肺炎(VAP)的效果,为临床采取有效吸痰方式预防控制VAP提供参考依据。方法选择2012年1月-2014年11月于医院ICU采取有创机械通气260例患者为研究对象,按吸痰方式分为两组,对照组127例患者采用开放式吸痰法,试验组133例患者采用密闭式吸痰法,比较两组患者VAP发生率,数据采用SPSS 19.0软件进行统计分析。结果患者采用机械通气治疗5、10d后VAP发生率对照组分别为33.07%、43.31%,均高于试验组9.02%、21.05%,两组比较差异有统计学意义(P<0.05);两组患者行机械通气5、10d后,其发生VAP患者临床特征为体温升高、大量黄色浓黏稠痰、双肺湿啰音、白细胞增高、有新的浸润性阴影,感染病原菌以铜绿假单胞菌为主。结论临床上患者进行机械通气过程中,采用密闭式吸痰模式能使VAP的发生得到有效的降低和延迟。
OBJECTIVE To investigate the effect of synthesis of closed suction and open suction on prevent ventilator associated pneumonia（VAP）in patients with mechanical ventilation（MV）,so as to provide reference for effective suction way prevent VAP in clinic.METHODS A total of 260 cases of patients with MV in the hospital ICU from Jan.2012 to Nov.2014 were selected.The 127 cases of patients in the control group were treated with open suction method,and 133 cases of patients in experimental group were treated with closed suction method for treatment.The VAP incidence rates of two groups were compared and data were statistically analyzed by SPSS 19.0.RESULTS The incidence rates of patients with MV in control group after 5days and 10 days were 33.07% and43.31%,both higher than those in experimental group 9.02%and 21.05%（P〈0.05）.After 5days and 10 days MV,the clinical characters of VAP-infected patients happened like high temperature,a large amount of yellow thick viscous phlegm,both lungs moist rale,increased leukocyte,new cases of invasive shadows and pathogen was mainly Pseudomonas aeruginosa.CONCLUSIONIn the clinical course of patients with MV,closed suction mode could effectively reduce and delay the occurrence of VAP.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2016年第15期3398-3399,3408,共3页
Chinese Journal of Nosocomiology
基金
黑龙江省科技局基金资助项目(2012061400010)
齐齐哈尔市科学技术局基金资助项目(SFGG-201314)
