脑卒中昏迷患者痰培养标本采集方法的探讨  

作　　者：杨钰[1] 秦健秀[1] 蒲晓波[1] 

机构地区：[1]四川省绵阳市第三人民医院神经内科,四川绵阳621000

出　　处：《中国民族民间医药》2011年第4期50-50,52,共2页Chinese Journal of Ethnomedicine and Ethnopharmacy

摘　　要：目的:探讨两种不同痰标本留取方法,对脑卒中昏迷患者痰培养标本送检合格率的影响。方法:将2009年1月—2010年4月我科收治的脑卒中昏迷,需作痰培养的患者60例,随机分为实验组和对照组各30例。实验组首先翻身拍背,作口腔护理后,吸净口腔、鼻腔及咽部的分泌物,更换一次性婴儿吸痰器后再吸第二次痰留取深部痰标本送检;对照组采用常规一次吸痰法留取痰标本送检。观察两组标本留取的合格率。结果:实验组标本合格率96.7%,对照组63.3%,两组比较差异有统计学意义(p<0.05)。结论:两次吸痰方法留取痰培养标本,能有效提高痰标本的合格率,为医疗提供较可靠的病因学诊断依据,有助于指导临床用药。Objective： To approach two different methods of taking sputum specimens from coma patients with stroke impact on the passing rate of sputum - cultured specimens. Methods： 60 coma patients with stroke from our department for sputum culture from January, 2009 to April, 2010, who are randomly divided into experimental group and control group separately 30 patients. In the experimental group in the first turning back, taking oral care, the net absorption of secretions of oral, nasal and throat, the replacement of onetime baby suction device and then absorbing the second deep sputum as the sent specimens; in the control group using lml conventional injector to take sputum specimens to send. Observing the passing rate of two groups of specimens. Results： The passing rate of specimens are 96. 7% in the experimental group, 63.3% in the control group. The difference between groups is statistically significant （ p 〈 0. 05 ） . Conclusion： The method of two suction for sputum - cultured specimens can effectively improve the passing rate of sputum samples, provide more reliable diagnosis based on etiology for health care, and help to guide clinical medication.

关 键 词：痰培养标本 昏迷患者 留取方法 一次性婴儿吸痰器 

分 类 号：R473.5[医药卫生—护理学]