经口气管插管患者口腔持续低负压吸引的效果观察  

Oral continuous lower suction for patients receiving orotracheal intubation

作　　者：朱晓燕[1] 魏薇萍[1] 管佳慧[1] 

机构地区：[1]上海交通大学附属第六人民医院急诊科,200233

出　　处：《蚌埠医学院学报》2012年第5期604-605,共2页Journal of Bengbu Medical College

摘　　要：目的:观察口腔持续低负压吸引在经口气管插管患者中的应用效果。方法:对40例经口气管插管机械通气伴口腔分泌物过多的患者按入院顺序随机分为观察组和对照组,各20例。对照组行常规吸痰,观察组采取口腔持续低负压吸引。结果:观察组患者呼吸机相关性肺炎的发生率、护理工时、住院时间及医疗费用均明显少于对照组(P<0.01)。结论:对经口气管插管机械通气伴口腔分泌物过多的患者行口腔持续低负压吸引可有效地降低呼吸机相关性肺炎的发生率,减少口腔黏膜的损伤及护理工作量,缩短住院时间,值得临床推广应用。Objective：To investigate the effect of oral continuous lower suction on patients receiving orotracheal intubation. Methods： Forty patients using orotracheal intubation were randomly divided into two groups：the observation group and the control group. The control group received routine suction and the observation group received oral continuous lower suction. Results： The ventilatorassociated pneumonia incidence, the nursing care hour, hospital stay and medical cost in the observation group were significantly less than those in the control group（ P 〈 0. 01 ）. Conclusions：For patients who are receiving orotracheal intubation and accompanied with excessive oral secretions, oral continuous lower suction is effective in reducing the ventilator-associated pneumonia incidence, oral mucosal injury,nursing workload and shortening the hospital stay. It is worth popularizing.

关 键 词：吸引 气管插管 呼吸机相关性肺炎 口腔持续低负压吸引 

分 类 号：R61[医药卫生—外科学]