气囊持续充气与定时放气致导管相关性肺炎的前瞻性研究.pdfVIP

• 16 • 中国实用护照杂志 2(阴年 7 月 11 日第 25 卷第 7 期中旬版 Chin] Prac N脯，]uly Il!h_1侃9， VoI.25 ,No.7B 气囊持续充气与定时放气致导管相关性肺炎的 前瞻性研究 刘萍谢索红张吴玉黄凤枝 [摘要} 阔的探讨气囊持键充气与定时放气和导管相关性肺炎的关系。方法将ω例人住 ICU 行气管椭管或气管切开翻过 24h 的成年患者随机分为常规组和实验组各 30例。实验细按护理梯 准在患者最管成功腊予导管气囊持维克气:常规组按，明护理标准在患者置管成功后，给导管气囊性气并 记录时间，每 4h放吨 1 次，保留 5 min 后再注气;2组气囊充气均按最小容量技术 (minimal occlusive volume，MOV)及其他同等治疗护理。于人院 12 h 内、拨出导管或转出 ICU 前分别给予摄床旁X钱胸片 放进行深部病细菌培养，并接院院感染诊断标准确定 2组等管相关性肺炎的发生情况。结果实验组 等管相关性肺炎的发生事明显低于常规缎。 销论在病情、治疗方案、气管置管时间无明显整别的前 提下，气囊持续充气对 ICU 气管置管患者的导管相关性肺炎的发生率有明显降低作用。 {关键词 1 持蜡充气; 肺炎; 与手臂相关性; 感染控制 Prospective research of VI棚UJa切r-a黯制iated pneumooia 阳.used by the aerocystω耐nual inßation and clocked deßatioD LJU Píng.XIE Su-ho啼~ ZHANG Wu- yu., HUANG Feng-zhi. ICU , the Firt Peo- p的 Hospital 01 Hechi City, G川Z伊i Province ,Hechi 5463ω Chi阳 [Abs衍aω] Obj剧创刊 To explore the relationship between the aerocyst continual inflation and clocked deflation and ventilator 咿a8sociated pneumonia. Meth耐s 60 ICU hospitalized adult patients treated 响曲时事cheotomy or 忧郁chea canalizatíon for ahove 24 hour事 were randomly divided into the 阳di­ tional 伊up 削d the experimental 萨。up with 30 patienωin each group. After trachea canalization success幽 fully according ωthe nursing standard, the experimental group w，ω 阳ated wi由 aerocyst continual inflation. the traditional group 阴sed the ven创ator and recorded 由e time, deflating the 阴暗V呻 4 hours and inflating 吨ain after 5 minutes. The inflation time, nurse management and MOV{minimal occlusive volume)of the two groups were theωme. 叽le chest X - rays exantination and deep 自putum baciJli culture were implemented 12 hours after admission. before pulling out the ventilator and transferring out of ICUωevaluate the inci 嗣 dence of ventilator- asωciated pneumonia according ωthe inf削tion dia伊osis sωndard. 民酬Jlts 咽le rate of ventilator咱$ωciated pneumonia in the experimental group w制 obviously lower than 伽at of 由e tradition- al 伊叩. Conclusions The rate of ventilator.….a脚ciated pneumonia 时uces obviously in the IC