疾病预防论文6篇：纤维支气管镜预防ICU呼吸肌无力患者呼吸机相关性肺炎的实效性探究 .docVIP

疾病预防　6篇 内容提要： ? 纤维支气管镜预防ICU呼吸肌无力患者呼吸机相关性肺炎的实效性探究 ? 现代预防医学预防麻疹的疗效 ? 银杏叶提取物预防心肌缺血再灌注损伤的研究 ? 米索前列醇联合缩宫素预防产后出血的疗效探讨 ? 依帕司他对老年糖尿病周围神经病变患者同型半胱氨酸的影响 ? 小剂量肝素预防过敏性紫癜性肾损害临床疗效分析 全文共22622 字 纤维支气管镜预防ICU呼吸肌无力患者呼吸机相关性肺炎的实效性探究 张 曦 四川省金堂县第一人民医院重症医学科，四川金堂 610400 [摘要] 目的 探究纤维支气管镜在预防ICU呼吸肌无力患者呼吸机相关性肺炎的应用效果以及临床价值。方法 选取我院2011年5月—2014年5月诊断的各类呼吸肌无力的患者78例作为研究对象，将所有患者随机分成对比组38例和观察组40例，使用常规治疗方法诊治对比组患者，观察组在对比组基础上，使用纤维支气管镜吸痰，并灌洗。在对两组治疗后，统计并分析两组的肺炎发生率以及血气情况并进行比较。结果 使用纤维支气管镜辅助治疗后发现病人的血气有了明显好转。统计患者呼吸肌肺炎发生率后得出，治疗组为25%，对比组发生率为57.9%，对比组的肺炎发生率明显高于观察组，且两组的差异具有统计学意义（P0.05）。结论 纤维支气管镜的使用能够对ICU呼吸肌无力患者呼吸肌相关肺炎的防治治疗中起到积极有效的辅助作用，同时也能够大幅度降低呼吸肌肺炎发生率。 [关键词] 纤维支气管镜；ICU呼吸肌无力；相关性肺炎 [中图分类号] R563.1　[文献标识码] A　[文章编号] 1672-5654（2014）08（b）-0100-03 Effect of bronchofibroscope in the prevention and treatment for ventilator associated pneumonia in ICU patients combinedwith respiratory muscle weakness ZHANG Xi The Department of ICU,First Peopleacute;s Hospital of Jintang City , Sichuan 610400 ，China [Abstract] Objective To estimate effects of bronchofibroscope in the prevention and treatment for ventilator-associated pneumonia in ICU patients with respiratory muscle weakness. Methods Select seventy-eight patients diagnosed as respiratory myasthenia gravis by our hospital patients ,randomly divided into treatment and control groups. Treatment group 40 cases, with conventional treatment and early using bronchofibroscope to suction, lavage. The control group, 38 cases with conventional treatment.The incidence of ventilator-associated pneumonia and arterial blood gas analysis were observed and compared in the two groups. Results The result of arterial blood gas analysis in treatment group showed significant improvement for half an hour after bronchofibroscope treatment, in the control group, there was no significant change in arterial blood gas analysis. The incidence of ventilator-associated pneumonia in treatment group was 25%, and the incidence of ventilator-associated pneumonia in control group was 57.9%. The incidenc