重症颅脑损伤采用针对性气道护理对发生呼吸机相关性肺炎的影响  

Effect of Pertinence Airway Care on Ventilator Associated Pneumonia in Patients with Severe Craniocerebral Injury

作　　者：卢小利 卢伶俐[2] 张弦[3] 

机构地区：[1]深圳市光明新区人民医院急诊科 [2]深圳市宝安区松岗人民医院胃镜室 [3]深圳市宝安区松岗人民医院放射科,广东深圳518105

出　　处：《锦州医科大学学报》2017年第1期91-93,共3页Journal of Jinzhou Medical University

摘　　要：目的探讨重症颅脑损伤患者排痰中采用针对性气道护理效果分析及对VAP的发生率影响。方法将我院68例重型颅脑损伤患者随机分为对照组与观察组,两组各34例,对照组实施常规气道护理,观察组实施针对性气道护理。结果观察组血气指标水平、每日排痰量、吸痰次数以及吸痰操作时间均要显著优于对照组(P<0.05);观察组VAP发生率是0%,病死率是2.9%,对照组VAP发生率是14.7%,病死率是20.6%,组间比较具有显著性差异(P<0.05)。结论对重症颅脑损伤患者实施针对性气道护理具有显著效果,能够明显改善患者排痰效果,减少VAP发生率,值得临床大力推广。Objective To investigate the effect of pertinence airway care on patients with severe craniocerebral injury and the in- cidence rate of VAP when discharging sputum. Methods 68 eases with severe craniocerebral injury admitted in our hospital were randomly divided into control group and observation group with 34 in each. The control group received conventional airway care, while the observation group was treated with pertinence airway care. Results The blood gas index level, daily sputum volume, the number of sputum suction and its operation time of the observation group were significantly better than those of the control group （ P〈0. 05 ）, the VAP incidence was 0% and the mortality rate was 2. 9% of the observation group. The VAP incidence was 14. 7% and the mortality rate was 20. 6% of the control group. There were statistically significant differences between groups （ P〈 0. 05 ）. Conclusion The implementation of pertinence airway care for patients with severe craniocerebral injury has a significant effect, which can significantly improve the sputum excreting effect and reduce the VAP incidence. Therefore, it is worthy to be promoted in clinical practice.

关 键 词：针对性气道护理 重症颅脑损伤 呼吸机相关性肺炎 

分 类 号：R473.6[医药卫生—护理学]