胃管旁置小管协助吸痰对肺部感染疗效的观察

The Observation on the Clinical Efficacy of Aspirating Sputum with Small Sputum - aspirating Tubes Side of Indwelling Gastric Tubes in Patients with Pulmonary Infections

目的探讨昏迷或各种吞咽困难合并肺部感染留置胃管患者应用在胃管旁留置小管协助吸痰对肺部感染的临床疗效。方法随机将148例昏迷或各种吞咽困难合并肺部感染留置胃管的危重患者分为两组，在综合治疗基础上应用常规吸痰加胃管旁留置小管吸痰72例为研究组（A组），综合治疗基础上只应用常规吸痰76例为对照组（B组），治疗后对其疗效进行分析。结果2W后A组有效率显著高于B组（P〈0．01）；治疗后第10天，A组体温及白细胞计数与B组比较，差异有显著意义（P〈0．05）。结论昏迷或各种吞咽困难合并肺部感染留置胃管患者应用在胃管旁留置小管协助吸痰对治疗和预防肺部感染是一种有效的方法，值得推广应用。

Objective To explore the clinical efficacy in treatment of narcose or dysphagia patients with pulmonary infections by using small sputum - aspirating tubes side of indwelling gastric tubes to assist the patients in aspirating sputum. Methods 148 severe acute narcose or dysphagia patients with pulmonary infections and indwelling gastric tubes were randomly allocated to two groups （A, B group） . A group （72 cases with conventionally aspirating sputum and aspirating sputum by using small sputum - aspirating tubes side of indwelling gastric tubes on the basis of compositive treatment as observed group）, B group （76 cases, conventional aspirating sputum on the basis of compositive treatment as control group）, the effective rate of the two groups were compared. Results Mtcr 2 week＇s treatment, the patients in A group had significant higher clinical effective rate compared with that of B group （ P 〈0.01 ）, the temperature, leucocyte count were significantly improved in A group compared with that in the B group （P 〈0.05） after 10 days＇treatment. Conclusion The clinical application of aspirating sputum by using small sputum - aspirating tubes side of indwelling gastric tubes is one kind of effective method in preventing and treating the patients with pulmonary infections and can be popularized to the clinical application.