ICU患者微误吸的相关因素及护理研究进展  

Research progress on related factors and nursing care of micro-aspiration in ICU patients

作　　者：肖茗芳 刘明超 谢艳梅[2] XIAO Mingfang;LIU Mingchao;XIE Yanmei

机构地区：[1]赣南医学院护理学院,赣州市341000 [2]赣南医学院第一附属医院重症医学科

出　　处：《中华急危重症护理杂志》2023年第4期320-324,共5页Chinese Journal of Emergency and Critical Care Nursing

基　　金：2023年江西省卫健委科技计划项目(202310832);2021年度研究生创新专项资金立项项目(YC2021-X007)。

摘　　要：微误吸是由声门下分泌物通过人工气道气囊皱襞形成的通道进入下呼吸道造成的,被认为是呼吸机相关性肺炎的重要致病因素之一。因患者发生微误吸后不出现任何症状,隐匿性极强,确诊具有一定的滞后性,需进一步探索和确认。该文综述了造成微误吸的相关因素及防治措施,阐述了微误吸与呼吸机相关性肺炎的因果关系,便于医护人员及时预防患者发生微误吸,从而降低呼吸机相关性肺炎的发生率。Micro-aspiration is caused by subglottic secretions entering the lower respiratory tract through a channel formed by the folds of the artificial airway balloon.It is considered to be one of the important pathogenic factors of ventilator-associated pneumonia.Because the patients do not show any symptoms after micro-aspiration and it is highly occult,the diagnosis will be delayed,which requires further exploration and confirmation.In this paper,the related factors and prevention and treatment measures of micro-aspiration were summarized,and the causal relationship between micro-aspiration and ventilator-associated pneumonia was expounded to facilitate medical staff to prevent and avoid the occurrence of micro-aspiration in patients in time,so as to reduce the incidence of ventilator-associated pneumonia.

关 键 词：通气机 机械 呼吸道误吸 肺炎 呼吸机相关 危险因素 综述文献(主题) 

分 类 号：R472.2[医药卫生—急诊医学]