呼吸机管道湿化结合口腔护理对ICU呼吸机相关性肺炎防范效果影响.docVIP

呼吸机管道湿化结合口腔护理对ICU呼吸机相关性肺炎防范效果影响 　　[摘要]目的 探?呼吸机管道湿化结合口腔护理对ICU呼吸机相关性肺炎（VAP）防范效果的影响。方法 选取2014年9月～2016年2月我院收治的112例进行机械通气的患者作为研究对象，采用随机数字表法将其分为对照组、研究组，每组 56例。对照组给予常规护理方案，研究组实施常规护理方法的同时给予呼吸机管道湿化结合口腔护理。比较两组患者的机械通气时间、住ICU时间、平均住院时间，呼吸机相关性肺炎发生率。结果 研究组患者的机械通气时间、住ICU时间、平均住院时间均短于对照组，差异有统计学意义（P0.05）；对照组患者发生VAP 7例，发生率为12.50%。研究组患者发生VAP 1例，发生率为1.79%。研究组VAP发生率低于对照组，差异有统计学意义（χ2=4.846，P=0.028）。结论 对ICU患者实施呼吸机管道湿化结合口腔护理，可有效降低患者VAP发生率，缩短患者机械通气时间、住ICU时间及住院时间，临床应用价值高，值得推广应用。 　　[关键词]呼吸机；管道湿化；口腔护理；呼吸机相关性肺炎 　　[中图分类号] R473.5 [文献标识码] A [文章编号] 1674-4721（2018）4（b）-0192-03 　　On the Effects of the Joint Implementation of Ventilator Pipeline Humidification and Mouth Cavity Nursing in the Prevention of Ventilator-related Pneumonia 　　HUANG Li-juan1 WU Yu-ting2 LIU Ai-xiu1 XIN Yan-hong3 WU Min4 　　1.Intensive Care Unit，the Second People′s Hospital of Yichun City in Jiangxi Province，Yichun 336000，China；2.Department of Nursing，the Second People′s Hospital of Yichun City，in Jiangxi Province，Yichun 336000，China；3.Department of Rehabilitation，the Second People′s Hospital of Yichun City in Jiangxi Province，Yichun 336000，China；4.Department of Science and Education，the Second People′s Hospital of Yichun City in Jiangxi Province，Yichun 336000，China 　　[Abstract]Objective To investigate the effect of ventilator-associated pneumonia （VAP） prevention in ICU by ventilator tube humidification combined with oral care.Methods A total of 112 patients with mechanical ventilation admitted to our hospital from September 2014 to February 2016 were selected as the research objects，and randomly divided into control group and study group，with 56 cases in each group.The control group was given routine nursing plan，the study group was given ventilator tube humidification combined with oral care at the same time of routine nursing.The duration of mechanical ventilation，ICU stay，average hospital stay and the incidence of VAP were compared between the two groups.Results The duration of mechanical ventilation，ICU stay and ave