改进式拔管法对预防呼吸机相关性肺炎的临床观察与分析  

Improved Extubation on Clinical Observation and Analysis of the Prevention of Ventilator-associated Pneumonia

作　　者：徐雪梅[1] 

机构地区：[1]潍坊市人民医院ICU呼吸机中心,山东潍坊261041

出　　处：《中国卫生产业》2014年第13期13-14,16,共3页China Health Industry

摘　　要：目的探讨改进式拔管法和传统拔管法在机械通气患者呼吸机相关性肺炎(VAP)预防中的临床价值和意义。方法选取我院重症监护病房(ICU)2011年11月—2013年5月收治的121例行机械通气病情好转准备拔管患者,随机分为两组。实验组67例采用改进式拔管法,对照组54例采用传统拔管法。记录并比较两组患者VAP的发生率。结果实验组VAP的发生率明显低于对照组,P=0.029(P<0.05)。结论对ICU机械通气病情稳定后拔出气管插管患者进行病情评估,改进式拔管法(实验组)可明显降低机械通气患者VAP的发病率,临床效果满意,值得在临床推广。Objective To investigate the clinical value and significance of improved extubation method and traditional extubation in patients with mechanical ventilation in the prevention of ventilator-associated pneumonia.Methods We selected 121 patients in our hospital, s ICU with mechanical ventilation condition ready for extubation patients between 2011 November to 2013 year May, randomly divided into two groups. The experimental group of 67 patients with improved extubation, 54 patients in the control group using the traditional extubation, Record and compared the incidence of VAP in the two groups. Results VAP in the experimental group were significantly lower than those in the control group P=0.029 （P〈0.05）. Conclusion To evaluate the patients with me- chanical ventilation in ICU stability and pull out the tracheal intubation, improved extubation （experimental group） can significant- ly reduce the incidence of VAP in patients with mechanical ventilation rate, the clinical effect is satisfactory and is worth in clini- cal promotion.

关 键 词：重症监护病房(ICU) 机械通气 呼吸机相关性肺炎(VAP)改进式拔管方法 

分 类 号：R563[医药卫生—呼吸系统]