密闭式吸痰对新生儿呼吸机相关性肺炎发生率的影响研究  

Study of the effect on occurrence of neonatal ventilator associated pneumonia by closed endotracheal suction systems

作　　者：李岸英[1] 梁武华[1] 庞瑜[1] 林结木 

机构地区：[1]广西玉林市妇幼保健院,广西玉林537000

出　　处：《护士进修杂志》2014年第5期401-403,共3页Journal of Nurses Training

基　　金：广西玉林市科技攻关计划项目(编号:玉市科攻10066007)

摘　　要：目的：探讨密闭式吸痰（CSS）与开放式吸痰（OSS）对新生儿呼吸机相关性肺炎（ventilator-associated pneumonia ，VAP）发生率的影响，为临床选择最佳吸痰方式提供依据。方法选择2011年3月～2012年12月在我院新生儿重症监护病房（NICU ）经口行气管插管机械通气治疗患儿100例，随机分为CSS组（实验组）和OSS组（对照组）各50例，比较分析两组患者的呼吸机相关性肺炎发生率、病死率、住院时间、住院费用及菌群情况等。结果实验组呼吸机相关性肺炎发生率、病死率均低于对照组，住院时间短于对照组，两组患儿VAP发生率差异有显著意义（P＜0．05），两组患儿呼吸道内培养出的菌株以革兰阴性菌为主，偶有真菌；OSS组的菌株种类杂、数量多。结论密闭式吸痰方法在降低新生儿呼吸机相关性肺炎中的效果优于开放式吸痰法，值得临床推广使用。Objective To study of the effect on occurrence of neonatal ventilator-associated pneumonia （VAP） by closed endotracheal suction systems（CSS）and open endotracheal suction systems （OSS） ,and to provide the basis for selecting best suctioning approach for clinical using .Method 100 neonates received intubation and mechanical ventila-tion in neonatal intensive care unit （NICU） of Yu Lin Maternal and Child Health-Care Hospital from March 2011 to December 2012 was selected and randomly divided into CSS group （treatment group ） and OSS group （control group） ,each with 50 neonates .The incidences of VAP ,mortality ,the length and cost of hospital stay ,bacterial contamination was measured and compared between two groups .Result Compared to control group ,neonates in treatment group had lower incidences of VAP and mortality ,and shorter hospital stay .There was significant differ-ences between the two groups （P＆lt;0 .05） .Gram-negative bacteria were in the majority of strains cultured from neo-nate respiratory tract in both groups .Further ,more species and larger number of strains were observed in OSS group .Conclusion CSS was superior to OSS for reducing the incidence VAP for neonates received intubation and me-chanical ventilation .It＆#39;s valuable for extending in clinical practice .

关 键 词：新生儿 气管插管 呼吸机相关性肺炎 密闭式吸痰 开放式吸痰 

分 类 号：R459.3[医药卫生—治疗学]