声门下分泌物引流预防呼吸机相关性肺炎的治疗新进展  

New progress of subglottic secretion drainage in the prevention of ventilator-associated pneumonia

作　　者：侯潇潇 

机构地区：[1]天津市滨海新区海滨人民医院,天津300280

出　　处：《首都食品与医药》2022年第11期12-15,共4页Capital Food Medicine

基　　金：2020年天津市重点研发计划科技支撑重点项目(20YFZCSY00820);天津市科委科技计划项目(17KPHDSF00200);天津市科技重大专项与工程项目(16ZXMJSY00150)。

摘　　要：呼吸机相关性肺炎是一种常见的医院感染,可导致患者不良结局和医疗费用增加.最近,许多努力的目标是预防呼吸机相关肺炎,包括声门下分泌物抽吸.此文回顾了六项关于声门下分泌物抽吸预防呼吸机相关性肺炎的有效性的随机对照研究.结果一致显示,声门下分泌物抽吸可显著降低各种患者人群中呼吸机相关肺炎的发病率.尽管有这些发现,但这种做法在临床环境中是有限的.该临床实践应在需要机械通气的个体中实施,以降低呼吸机相关肺炎的发生率.此文即综述声门下分泌物引流预防呼吸机相关性肺炎治疗的最新进展.Ventilator-associated pneumonia is a common nosocomial infection that results in both negative patient outcomes and increased health care costs.Recently,many efforts have been targeted at ventilator-associated pneumonia prevention,including the practice of subglottic secretion aspiration.Six randomized control studies examining the effectiveness of subglottic secretion aspiration in the prevention of ventilator-associated pneumonia were reviewed for this article.Results consistently show that subglottic secretion aspiration significantly reduces the incidence of ventilator-associated pneumonia in a variety of patient populations.Despite these findings,this practice is limited in clinical settings.This clinical practice should be implemented in individuals requiring mechanical ventilation to reduce the incidence of ventilator-associated pneumonia.

关 键 词：声门下分泌物引流 呼吸机相关性肺炎 预防措施 治疗新进展 

分 类 号：R563.1[医药卫生—呼吸系统]