吸痰用具对气管切开患者呼吸道感染的影响  

Effect of sputum aspiration appliance on respiratory tract infection of patients with tracheotomy

作　　者：郑肇敏[1] 杨妹二[1] 钟桂芳[1] 陈彩凤[1] 

机构地区：[1]广东医学院附属医院神经内科,湛江524001

出　　处：《中华现代护理杂志》2011年第7期790-792,共3页Chinese Journal of Modern Nursing

摘　　要：目的探讨吸痰用具对气管切开患者继发呼吸道感染的影响。方法回顾性分析2008年6月至2009年5月气管切开患者34例（下称第一阶段）与2009年6月至2010年5月气管切开患者30例（下称第二阶段）的资料，比较两阶段患者呼吸道感染致病菌及继发肺炎的差异。结果两阶段第1周感染多重耐药菌株（鲍曼不动杆菌、表皮葡萄球菌、铜绿假单胞菌）的差异有统计学意义（P〈0．05）；两阶段第2周感染多重耐药菌株（鲍曼不动杆菌、表皮葡萄球菌、铜绿假单胞菌、肺炎克雷伯菌、金黄色葡萄球菌）的差异有统计学意义（P〈0．05）；第二阶段肺炎并发率明显低于第一阶段，差异有统计学意义（P〈0．05）。结论做好吸痰用具消毒隔离是降低气管切开患者肺部多重耐药菌感染的重要环节之一。Objective To explore the influence of sputum aspiration appliance on respiratory tract infection of patients with tracheotomy. Methods 34 patients with tracheotomy from June 2008 to May 2009 （ the first stage） and 30 patients with tracheotomy from June 2009 to May 2010 （the second stage） were analyzed retrospectively. The difference of the rates of species of infection pathogens and pneumonia complications in two stages were compared. Results In two stages, there was a significant difference of multiple antibiotic resistant strains respectively in the first week（ acinetobacter baumannii, S. epidermidis, Pseudomonas aeruginosa） and in the second week（acinetobacter baumannii, S. epidermidis, Pseudomonas aeruginosa, Klebsiella pneumoniae, Staphylococcus aureus） （ P 〈 0. 05 ）. The rates of pneumonia complications in the second stage is lower than the first stage, the difference was significant （ P 〈 0. 05 ）. Conclusions It is an important component element to sterilize and isolate the sputum asl^irators to decrease the incidence of Pulmonary multiple antibiotic resistant strains infection of patients with tracheotomy.

关 键 词：气管切开 吸痰用具 消毒隔离 肺部感染 

分 类 号：R472[医药卫生—护理学]