间歇声门下吸引联合幽门后喂养预防呼吸机相关性肺炎的临床研究  

Clinical research on intermittent subglottic suction combined with postpyloric feeding in prevention of ventilator-associated pneumonia

作　　者：周丹丹[1] 楼巧勤[1] 白丹[1] 付红娟[1] 王芸[1] 

机构地区：[1]杭州市第三人民医院,浙江杭州310009

出　　处：《护理与康复》2013年第7期615-617,共3页Journal of Nursing and Rehabilitation

摘　　要：目的观察机械通气患者应用间歇声门下吸引联合幽门后喂养预防呼吸机相关性肺炎的效果。方法按随机数字表将56例预计机械通气超过48h的患者分为观察组26例和对照组30例,对照组用常规吸痰联合胃内喂养,观察组用间歇声门下吸引联合幽门后喂养。观察两组3周内呼吸机相关性肺炎及胃潴留、反流、误吸的发生率。结果观察组呼吸机相关性肺炎发生率(3.85%)低于对照组(36.67%);对照组胃潴留、反流和误吸发生例数高于观察组。结论间歇声门下吸引联合幽门后喂养可降低呼吸机相关性肺炎的发生率。Objective To study the effect of intermittent subglottic suction combined with postpyloric feeding in prevention of ventilator-associated pneumonia for patients with mechanical ventilation.Method Divide 56patients with mechanical ventilation longer than 48hinto observation group（n=26）and control group（n=30）by random number table.Patients in control group receive routine sputum suction combined with gastric feeding.Patients in observation group receive intermittent subglottic suction combined with postpyloric feeding.Observe the rate of ventilator-associated pneumonia in 3weeks,rate of gastric retention,regurgitation and accidentally inhalation for two groups.Result Rate of ventilator-associated pneumonia（3.85%）is lower in observation group than in control group（36.67%）.Cases of gastric retention,regurgitation and accidentally inhalation are more in control group than in observation group.Conclusion Intermittent subglottic suction combined with postpyloric feeding can reduce the rate of ventilator-associated pneumonia.

关 键 词：机械通气 肺炎 预防 声门下吸引 

分 类 号：R473[医药卫生—护理学]