不同呼吸机管路集中消毒方式对肿瘤患者术后发生呼吸机相关性肺炎的影响  

Effect of different ventilator pipe centralized disinfection method on ventilator-associated pneumonia in patients with tumor after operation

作　　者：曾秀育[1,2] 贺修君[1,2] 罗晓花[1,2] 

机构地区：[1]解放军第一六九医院 [2]湖南师范大学附属湘南医院消毒供应科,衡阳421002

出　　处：《中国肿瘤临床与康复》2015年第11期1387-1390,共4页Chinese Journal of Clinical Oncology and Rehabilitation

摘　　要：目的探讨呼吸机管路手工清洗与全自动清洗集中消毒方式对肿瘤患者术后呼吸机相关性肺炎(VAP)发生情况的影响。方法选取2010年9月至2014年9月间收治的377例术后应用呼吸机的肿瘤患者,按照其呼吸机管路集中消毒方式分为手工组(n=194)和自动组(n=183),对两组患者临床资料、VAP发生情况进行回顾性分析。结果手工组目测法和细菌检测法合格率分别为95.1%和91.4%,均显著低于自动组(P<0.05);自动组两种检测方法的合格率均为100.0%。手工组VAP发生率和千日感染率分别为12.9%和42.9‰,均显著高于自动组的3.8%和16.7‰(P<0.05)。结论全自动清洗在呼吸机管路集中消毒中具有灭菌效果好、工作效率高的优势,能够有效降低肿瘤患者术后VAP发生率,对于医疗质量的改善有着积极意义。Objective To investigate the effect of different ventilator pipe centralized disinfection method on ventilator-associated pneumonia（ VAP） in patients with tumor after operation. Methods A total of 377 cases of patients with tumor selection in Xiangnan Hospital from September 2010 to September 2014 were selected and divded into manual group（ n = 194） and automatic group（ n = 183） in accordance with the different ventilator pipe centralized disinfection. Clinical data,the occurrence of VAP of patients in two groups were retrospectively analysised. Results The visual method,bacteria detection qualified rate of manual group were 95. 1% and 91. 4% respectively,were significantly lower than those of the automatic group（ P 0. 05）. The qualified rate of the two detection methods in automatic group were 100. 0%. The incidence of VAP and a thousand days infection rates of manual group were 12. 9% and 42. 9‰,were significantly higher than that of automatic group（ 3. 8% and 16. 7‰）（ P 0. 05）. Conclusions Automatic cleaning has good sterilization effect,high work efficiency advantages in ventilator pipe concentrated disinfection,can effectively reduce the incidence rate of VAP in cancer patients,has a positive meaning for the improvement of medical quality.

关 键 词：肿瘤 呼吸机管路 集中消毒 昏迷 呼吸机相关性肺炎 

分 类 号：R730.5[医药卫生—肿瘤]