联合冲洗气囊上至口鼻咽腔滞留物预防呼吸机相关性肺炎的研究  

Study for Prevention of Ventilator-associated Pneumonia Treated by Joint Washing of Things Left in the Airbag and The Nose and Mouth Pharynx

作　　者：侯改英[1] 张玉英[1] 刘春霞[1] 马杏云[1] 

机构地区：[1]河北省人民医院ICU,石家庄050051

出　　处：《中国医药导刊》2012年第8期1294-1295,共2页Chinese Journal of Medicinal Guide

摘　　要：目的:探讨机械通气患者行气囊上至口鼻咽腔联合冲洗对呼吸机相关性肺炎的预防效果。方法:将120例机械通气患者均使用可冲洗气管导管,随机分为两组,每组60例,A组每日应用0.02%洗必泰溶液行气囊上及口、鼻咽腔联合冲洗两次,B组不进行气囊上及口鼻咽腔冲洗,只进行持续吸引气囊上滞留物,必要时吸引口鼻咽腔分泌物。两组对照研究,观察呼吸相关性肺炎(VAP)的发生率。结果:A组发生VAP12例,发生率20%;B组发生VAP31例,发生率51.7%。A组VAP发生率明显低于B组,P<0.05。结论:对机械通气患者使用可冲洗气管导管,每日使用0.02%洗必泰溶液进行联合冲洗气囊上至口、鼻咽腔滞留物,可明显降低VAP发生率。Objective：To study the preventive effect of ventilator-associated pneumonia by joint washing of the airbag and the nose and mouth pharynx on mechanically ventilated patients.Methods：Selected 120 patients with mechanical ventilation,randomly divided into two groups（A and B）,each group had 60 cases.Group A was given Joint washing of the airbag and the nose and mouth pharynx with 0.02% chlorhexidine,twice a day.Group B was not given Joint washing of the airbag and the nose and mouth pharynx,but continued attracting of things left in the airbag,and if necessary,secretions of nose and mouth pharynx.Compare the incidence of ventilator-associated pneumonia of the two groups.Results：There were 12 cases of patients with VAP in group A,the incidence was 20%;There were 31 cases of patients with VAP in group B,the incidence was51.7%,the incidence of group A was obviously lower than group B（P〈0.05）.Conclusion：To give patients with mechanical ventilation Joint washing of things left in the airbag and the nose and mouth pharynx with 0.02% chlorhexidine,can obviously Reduce the incidence of VAP.

关 键 词：可冲洗气管导管 预防 吸机相关性肺炎 

分 类 号：R472[医药卫生—护理学]