摘要
目的:探讨持续声门下吸引在预防晚发性呼吸机相关性肺炎中的作用。方法回顾性分析需长期机械通气并予气管切开的273例患者的临床资料,根据有无持续声门下吸引,分为声门下吸引组132例和对照组141例,比较两组晚发性呼吸机相关性肺炎的发生率。结果声门下吸引组晚发性呼吸机相关性肺炎发生率为25.8%(34/132),对照组晚发性呼吸机相关性肺炎发生率为22.7%(32/141),两组差异无统计学意义(χ2=0.345,P >0.05)。结论持续声门下吸引在预防晚发性呼吸机相关性肺炎中的作用尚不明确。
Objective To explore the value of subglottic secretion drainage in the prevention of the late -onset ventilator associated pneumonia.Methods Clinical data of 273 patients which were treated for long -term mechanical ventilation and tracheotomy were retrospectively analyzed.Based on continued subglottic suction,the patients were divided into the subglottic suction group(132 cases)and control group(141 cases),the late -onset ventilator -associated pneumonia incidence of two groups were compared.Results The ventilator -associated pneu-monia rate of the subglottic suction group was 25.8%(34 /132),and the ventilator -associated pneumonia rate of the control group was 22.7%(32 /141 ),the difference between the two groups was not significant(χ2 =0.345,P 〉;0.05).Conclusion In the prevention of late -onset ventilator -associated pneumonia,the effect of continuous sub-glottic suction is unclear.
出处
《中国基层医药》
CAS
2015年第10期1458-1460,共3页
Chinese Journal of Primary Medicine and Pharmacy
基金
浙江省温州市卫生局基金资助项目(2013812)
关键词
肺炎
呼吸机相关性
综合预防
治疗结果
Pneumonia,Ventilator -Associated
Universal Precautions
Treatment Outcome