人工鼻对ICU负压病房空气菌落计数影响作用研究.docVIP

人工鼻对ICU负压病房空气菌落计数影响作用研究 　　【摘要】 目的：研究人工鼻对ICU负压病房空气菌落计数的影响， 以及人工鼻对下呼吸道院内感染播散的拦截效果。方法：使用人工鼻前后，计数ICU负压病房空气中菌落株数并比较ICU医院感染发生率，进而研究人工鼻对ICU医院感染细菌扩散的拦截作用。结果：使用人工鼻前后计数ICU负压病房空气中菌落株数及ICU医院感染发生率比较，差异均有统计学意义（P　　【关键词】 人工鼻； ICU； 菌落计数； 医院感染 　　Study on Effection of Heat and Moisture Exchanger（HME） to Air Colony Count of ICU Ward with Negative Pressure/LAI Lian-qiang，JIANG Qiao-ya，CAO Feng，et al.// Medical Innovation of China，2013，10（14）：120-122 　　【Abstract】 Objective： To study the effection of heat and moisture exchanger（HME） to air colony count of ICU ward with negative pressure as well as studying the interception effection of HME to infection diffusion of patients with artificial airway Hospital infection of the lower respiratory tract.Method：The interception effection of HME to bacteria diffusion of patients with artificial airway Hospital infection of the lower respiratory tract was studied by virtue of air colony count and comparison of the incidence of hospital infection before and after using HME at ICU with negative pressure.Result：There were significant difference between the comparision of air colony count and the comparison of the incidence of hospital infection before and after using HME at ICU.Conclusion：HME has obvious effection on both air colony count of ICU ward with negative pressure and the interception to infection diffusion of patients with artificial airway hospital infection of the lower respiratory tract so that HME play an importang significance in the prevention of hospital infection fulminant epidemic. 　　【Key words】 Heat and moisture exchanger（HME）； Intensive care unit（NICU）； Colony count； Hospital infection 　　First-author’s address： Longgang Central Hospital of Shenzhen， Shenzhen 518116，China 　　doi：10.3969/j.issn.1674-4985.2013.14.071 　　呼吸道感染在院内感染中一直居高不下，其中人工气道患者下呼吸道医院感染的比例更高，而且感染容易通过呼吸运动向外播散，如何做好下呼吸道院内感染播散的控制工作已经是今天必须面对的重要课题。为此，本课题组就有关这方面的工作做了立项，深入研究了人工鼻对ICU负压病房空气菌落计数的影响作用，探讨人工鼻对人工气道患者下呼吸道医院感染扩散的拦截效果。现将研究的结果报道如下。 　　1 资料与方法 　　1.1 一般资料 选择2010年1月-2012年6月