雾化器管理对呼吸机相关性肺炎的影响  

Influence of the nebulizer management to on ventilator associated pneumonia

作　　者：冯丽琴[1] 唐丽娟[1] 李丽萍[1] 曾蓉[1] 黄春霞[1] 颜霞[1] 

机构地区：[1]深圳市宝安区人民医院重症医学科,广东深圳518101

出　　处：《临床急诊杂志》2014年第2期110-112,共3页Journal of Clinical Emergency

摘　　要：目的:探讨雾化吸入治疗中雾化器的管理对呼吸机相关性肺炎(VAP)的影响,以规范呼吸机患者雾化器的消毒与保存方式,从而减低VAP的发生率。方法:对我科2011-01-2012-12收治进行雾化吸入的123例使用呼吸机的患者进行对照研究。两组患者均落实预防VAP的集束化治疗。对照组:雾化器集中以1 000mg/L的含氯消毒液浸泡消毒,冲洗晾干后使用。实验组:患者固定雾化器,使用毕以75%酒精擦抹消毒后装入无菌罐待用。结果:两组患者VAP发生率、机械通气时间、ICU治疗天数,实验组明显优于对照组(P<0.05),而病死率方面无显著差异。结论:固定雾化器、以75%酒精擦拭消毒雾化器、无菌罐保存对于降低AVP的发生有显著效果。严格雾化器管理可以有效降低AVP的发生。Objective：To investigate the influence of nebulizer management in inhalation therapy to on ventila tor-associated pneumonia （VAP）,In order to standardize the disinfection and preservation of the nebulizer,and re duce the incidence rate of VAP. Method： A control study was carried out in our department with 198 cases of inha- lation of ventilator patients in January 2011 to December 2012. Two groups of patients were in the implementation of bundle therapy to prevent VAP. Control group：The nebulizers were used chlorine disinfectant immersion dsin fection （1 000 mg/L）, washed and dried after used. The experimental group： Patients with fixed nebulizers, after use,with 75 %alcohol wipe disinfection and in aseptic tank ready. Result：The experimental group was better than the control group （P〈0.05） of for the incidence of VAP,mechanical ventilation time,ICU days of treatment, but with no significant differences in case fatality rate. Conclusion：Fixed nebulizer,with 75% alcohol wipe disinfection nebulizer,aseptic cans storage has a significant effect to reduce the incidence of AVP. Strict nebulizer management can effectively reduce the incidence of AVP.

关 键 词：雾化器 管理 呼吸机相关性肺炎 

分 类 号：R563.1[医药卫生—呼吸系统]