集束化管理对降低机械通气新生儿呼吸道内致病菌定植的效果

Effect of Cluster Management on Reducing Colonization of Pathogenic Bacteria in Respiratory Tract of Neonates with Mechanical Ventilation

目的探讨集束化管理在新生儿机械通气中的应用价值。方法任意选取98例于2013年7月—2017年7月在该院行机械通气治疗的新生儿为研究对象,按照管理措施分成对照组和观察组。分别予以常规管理和集束化管理,对比管理成效。结果两组管理总有效率差异有统计学意义(P<0.05);两组管理前定植病原菌数目基本一致(P>0.05);观察组在管理后的定植病原菌数目低于对照组(P<0.05)。结论集束化管理可提高新生儿机械通气管理成效,减少定植病原菌数目,推广应用价值高。

Objective To explore the application value of cluster management in neonatal mechanical ventilation.Methods A total of 98 neonates undergoing mechanical ventilation in our hospital from July 2013 to July 2017 were randomly selected and divided into control group and observation group according to the management measures.The control group(n=98)received conventional management,and the observation group(n=98)received cluster management.The effectiveness of management was compared.Results There was statistical difference in the total effective rate of management between the two groups(P<0.05).The number of bacteria colonized before management of the two groups was basically the same(P>0.05).After management,the number of colonized pathogens in the observation group was lower than that in the control group(P<0.05).Conclusion Cluster management can improve the effect of mechanical ventilation management,reduce the number of colonized pathogens,which has high application value.