振动排痰法预防恶性肿瘤患者呼吸机相关性肺炎的效果观察

The Effect of Extrasomatic Vibration Sputum Discharge on the Prevention of the Ventilator Associated Pneumonia of Cancer Patients

目的:探讨振动排痰法对恶性肿瘤患者呼吸机相关性肺炎(VAP)的影响。方法:选择2010年1月～2012年1月入住ICU建立人工气道行机械通气的恶性肿瘤患者162例为研究对象,随机分为试验组和对照组,两组患者均严格实施呼吸机集束干预策略的护理方法,试验组在执行呼吸机集束干预策略护理的同时q6h行振动排痰。观察两组患者机械通气的时间和VAP的发生情况。结果:试验组呼吸机使用时间明显短于对照组(P<0.05)、VAP的发生率低于对照组(P<0.05)。结论:振动排痰法能明显缩短恶性肿瘤患者呼吸机使用时间,有效降低VAP的发生。

Objective： To discuss the effect of extrasomatic vibration sputum discharge on the ventilator associated pneumonia （VAP） of cancer patients. Methods： One hundred and sixty-two tumor patients with mechanical ventilation from Jan. 2010 to Jan. 2012 in ICU were randomly divided into trail group and control group. All patients were under strict ventilator bundle strategy, and trail group was given extrasomatic vibration sputum discharge q6h. Mechanical ventilation time and the incidence VAP of were recorded. Results：Mechanical ventilation time of trail group was significantly shorter than that of control group （P 〈 0.05）, and the incidence of VAP of trail group was significantly lower than that of control group （P 〈 0. 05）. Conelusion：Extrasomatic vibration sputum can effectively reduce the incidence of VAP.