持续气囊上吸引联合密闭式吸痰预防呼吸机相关性肺炎的临床研究

Continued Airbags on Attracting Ioint Closed Suction Prevention of Ventilator-associated Pneumonia Clinical Research

目的探讨分析持续气囊上吸引联合密闭式吸痰预防呼吸机相关性肺炎的临床研究。方法选择2012—2013年入住该院ICU科行气管插管或气管切开并使用呼吸机的患者180例,按照随机数字法随机分为持续气囊上吸引联合密闭式吸痰组(A组),持续气囊上吸引组(B组)和不行气囊上吸引及密闭式吸痰组(C组),观察各组疗效。结果 A组患者在机械通气时间及住院时间上均较B、C 2组明显缩短;在VAP的患病率及28 d病死率方面A组与B、C 2组比较明显降低;在VAP的发病时间方面比B、C 2组的时间要长,明显延长或缓解了VAP的发生;在引流量上较B、C 2组明显增多,减少了致病菌感染的机会。结论持续气囊上吸引联合密闭式吸痰减少呼吸机相关性肺炎发生,减少抗生素使用,缩短呼吸机使用时间,减少病人住院天数,降低病人住院费用。

Objective It is to explore the clinical research analysis the to attract joint closed suction continued airbags to prevent ventilator-associated pneumonia. Methods Select intubation or tracheostomy and ventilator patients 180 cases was admitted to our hospital ICU Branch line in 2012-2013,according to the random number randomly divided into A,B group,C group,each group ef- ficacy. Results A group of patients in the duration of mechanical ventilation, length of stay, the prevalence of VAP, 28-day mor- tality aspects with B, C two groups significantly reduced; longer than groups B, C time at the time of onset of VAP. Conclusion To attract joint dosed suction continued airbags reduce ventilator-associated pneumonia occur, reduce the use of antibiotics to shorten ventilator time, reduce the number of days of hospitalization, reduce the cost of patient.