持续气管内滴药与传统雾化吸入对气管切开患者下呼吸道感染的疗效分析

The Continual Endotracheal Instillation and Atomization Inhalation on Traditional Tracheotomy Patients with Lower Respiratory Tract Infection Clinical Analysis

目的:对气管切开患者分别采用持续气管内滴药与传统雾化吸入法进行气道护理,统计气管切开患者下呼吸道感染情况,比较两种方法的疗效。方法:将132例气管切开患者进行随机分为两组。A组66例,采取持续气管内滴药法对气道进行湿化;B组66例,采取传统雾化吸入法对气道进行湿化,对照研究两组患者的下呼吸道感染情况。结果:在气管切开后3、6、12d对患者进行痰液细菌培养,A组阳性例数少于B组(P<0.05)。在所有痰液细菌培养标本中,G-菌占75.23%,G+菌占24.72%,较常见的细菌为:绿脓杆菌、大肠杆菌、克雷伯杆菌、金黄色葡萄球菌等。结论:传统雾化吸入法与持续气管内滴药法比较,后者能明显缩短气管切开患者下呼吸道感染的病程,有利于患者康复。

Objective：To compare the effects of continual endotracheal instillation and traditional atomization inhalation by treating the patients catching lower respiratory tract infection with two methods.Method： The patients undergoing tracheotomy were randomly divided into two groups, 66 cases treated with continual endotracheal instillation were A group; 66 cases treated with traditional atomization inhalation were B group. Observing the lower respiratory tract infection of these patinents and the outcomes were studyed retrospectively.Result： Checked the bacteria in sputum cultures at the third, sixth and twelfth day after tracheotomy.The positive cases in A group were less than those in B group（P〈0.05）. Of the bacteria obtained from sputum culture, the majority were Gram- negative（75.23%）, the others were Gram- positive（24.72%）.And the major bacteria were pseudomonas aeruginosa, Escherichia coli, Klebsiella pneumoniae, and staphylococcus aureus.Conclusion：Comparing continual endotracheal instillation and traditional atomization inhalation, the former is better in humidifying airway, It can reduce the persistence time of lower respiratory tractinfection in the patient after tracheotomy, and help patients to recover.