中国当代医药Issue(22)：111-113,119,4.
两种不同声门下吸引法在机械通气危重患者人工气道管理中的应用
Application of two different subglottic attract method in mechanical venti-lation in critically ill patients with artificial airway management
摘要
Abstract
Objective To explore the application effect of two different subglottic attract method in mechanical ventila-tion in critically ill patients with artificial airway management. Methods 70 patients treated in ICU from May 2011 to May 2013 were randomly divided into experimental group and control group,each group of 35 cases,remove all kinds of interference factors,the number of cases of VAP,proportion and VAP occurrence time,mechanical ventilation time and ICU length of hospital stay,and two groups of patients daily attracted subglottic secretion capacity in two groups of pa-tients were observed,discharge to return 1 to 2 ml did occult blood test,the occult blood test positive rate in both groups were recorded. Results The experimental group and control group could effectively reduce the incidence of VAP,but the VAP occurrence time,mechanical ventilation time and ICU length of hospital stay in control group were better than those of the experimental group. Conclusion Two types of subglottic attract can effectively control the occurrence of VAP,continuous subglottic attract can guarantee the secretion by timely by suction,but easy to cause the airway mucosa injury bleeding,affect the local blood supply,subglottic attract less to airway mucosa stimulation,and can effectively shorten the time of mechanical ventilation and ICU time,mechanical ventilation in critically ill patients with artificial airway management use in the discontinuous subglottic attract method is better than that of continuous subglottic attract method.关键词
人工气道/持续声门下吸引/间断声门下吸引/机械通气Key words
Artificial airway/Continuous subglottic attract/Discontinuous subglottic attract/Mechanical ventilation分类
医药卫生引用本文复制引用
张淑清,秦志梅..两种不同声门下吸引法在机械通气危重患者人工气道管理中的应用[J].中国当代医药,2014,(22):111-113,119,4.基金项目
广东省东莞市医疗卫生科技计划一般项目 （）
