摘要
目的探讨开放式与密闭式气管内吸痰对传染病房患者呼吸道感染的影响,为临床选择最佳吸痰方式提供参考依据。方法选取2010年3月-2013年12月医院传染病房呼吸道感染需吸痰患者108例,随机分为对照组50例和观察组58例,观察组采用密闭式气管内吸痰,对照组采用开放式气管内吸痰,对两组患者呼吸道感染治疗效果、并发症的发生率;数据采用SPSS 15.0软件进行分析。结果治疗总有效率观察组患者为86.21%、对照组患者为66.00%;观察组患者无痰液喷出,对照组患者有10例;观察组痰中带血的发生率为17.24%、对照组为36.00%;观察组呼吸道黏膜损伤的发生率为22.41%、对照组为42.00%;以上所有数据两组之间比较,差异均有统计学意义(P<0.05)。结论密闭式气管内吸痰效果优于开放式吸痰,提高患者呼吸道感染治疗的有效率,增加安全性,而且操作简便,容易掌握,更易被患者接受。
OBJECTIVE To investigate the effects of open and closed endotracheal suctioning on respiratory tract in‐fections in patients in infectious wards , so as to provide reference for selection of optimal suctioning means . METHODS Totally 108 patients with respiratory tract infections in the infectious wards who needed suctioning during Mar .2010 to Dec .2013 were selected and randomly divided into the control group of 50 patients and the observation group of 58 patients .The observation group received closed tracheal suctioning ,while the control group was treated with open tracheal suctioning .The two groups were evaluated and compared for the treatment efficacy for respiratory infection and the incidence of complications .Data were analyzed with the software SPSS 15 .0 .RESULTS After treatment ,the total effective rate was 86 .21% in the observation group and 66 .00% in the control group .Sputum ejection occurred in 0 cases in the observation group and 10 cases in the control group .The incidence of bloody sputum was 17 .24% in the observation group and 36 .00% in the control group .The incidence of airway mucosal injury was 22 .41% in the observation group and 42 .00% in the control group .All of the above differences between groups were significant （P〈0 .05） .CONCLUSION Closed endotracheal suctioning is better than open suctioning as it can improve the treatment efficacy of respiratory infections and increase safety which is easy to operate ,easy to grasp ,and more acceptable by patients .
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2015年第15期3473-3474,3479,共3页
Chinese Journal of Nosocomiology
基金
海南省卫生厅科技基金资助项目(HW-2012B-029)
关键词
密闭式
开放式
气管内吸痰
呼吸道感染
Closed approach
Open approach
T racheal suctioning
Respiratory tract infection
