摘要
目的:对比分析持续声门下吸引与间歇声门下吸引结合潮式灌洗预防治疗呼吸机相关性肺炎的临床效果。方法:选取120例采用气管插管机械通气治疗的患者为研究对象,将其随机分成治疗组和对照组,对照组采取持续声门下吸引护理,治疗组采取间歇声门下吸引结合潮式灌洗进行治疗,并对两组患者的治疗效果进行分析对比。结果:机械通气5 d内治疗组呼吸机相关性肺炎发生率明显低于对照组患者,且声门下分泌物培养革兰阳性致病菌数少于对照组。结论:采取间歇声门下吸引结合潮式灌洗预防呼吸机相关性肺炎具有较为理想的效果,同时可降低治疗费用,缩短住院时间,减少患者痛苦,提高患者的生活质量。
Objective To analyze the clinical effect of the prevention of ventialtor-associated pneumonia treated by continuous subglot-tic suction and intermittent subglottic suction with Cheyne-Stokes lavage Methods 120 patients with ventilator-associated pneumonia after treated by endotracheal intubation mechanical ventilation were chosen and divided into the treatment group and the control group ran-domly. The patients of the control group were treated by continuous subglottic suction. The patients of the treatment group were treated by the intermittent subglottic suction with the cheyne-stokes lavage. The curative effects for both groups were analyzed and compared. Results During 5 days after mechanical ventilation,the incidence of ventilator associated pneumonia in treatment group was obviously lower than the control group＆#39;s. The cultured gram-positive bacteria of secreta in hypolarynx was lower than the control group＆#39;s. Conclusion The intermit-tent subglottic suction with Cheyne-Stokes lavage for preventing ventilator-associated pneumonia has an ideal effect. It would also reduce the cost and time of the treatment,the suffering of patients and improve patient＆#39;s life quality.
出处
《吉林医学》
CAS
2014年第30期6661-6662,共2页
Jilin Medical Journal
关键词
持续声门下吸引
间歇声门下吸引结合潮式灌洗
呼吸机相关性肺炎
Continuous subglottic suction
Intermittent subglottic suction with cheyne-stokes lavage
Ventilator-associated pneumo-nia
