摘要
目的探讨声门下两种不同冲洗及吸引方法在人工气道患者中的应用效果。方法按随机数字表法,将128例建立人工气道患者分为观察组和对照组,每组各64例,观察组患者采用声门下吸引冲洗装置进行声门下冲洗及吸引,对照组采用传统护理方法。观察两组患者误吸和呼吸机相关性肺炎(ventilator associated pneumonia,VAP)发生情况。结果观察组患者误吸发生率、VAP发生率低于对照组,差异具有统计学意义(均P<0.05)。结论采用声门下冲洗及吸引装置进行声门下冲洗及吸引可有效预防人工气道患者误吸及VAP的发生,值得临床推广应用。
Objective To explore the effect of continuous subglottic irrigation and aspiration in patients with artificial airway. Methods One hundred and twenty-eight patients with mechanical ventilation were randomly divided into observation group and control group with 64 cases in each group.The observation group was treated by continuous subglottic irrigation and aspiration,and the control group received traditional nursing.The two groups were observed and compared in terms of incidence of aspiration and ventilator-associated pneumonia.Result The incidences of ventilator associated pneumonia（VAP）and aspiration in the observation group were significantly lower than that in the control group（P＆lt;0.05）.Conclusion Continuous subglottic irrigation and aspiration can effectively prevent aspiration and VAP among patients with artificial airway.
出处
《现代临床护理》
2014年第2期27-29,共3页
Modern Clinical Nursing
关键词
人工气道
机械通气
低负压吸引
误吸
呼吸机相关性肺炎
artificial airway
mechanical ventilation
continuous low negative pressure drainage
ventilator associated pneumonia
