中国当代医药Issue(35)：157-159,3.
持续声门下吸引对呼吸机相关性肺炎及再插管率的影响
Influence of continuous aspiration of subglottic secretions on ventilator-associated pneumonia and reintubation rate
摘要
Abstract
Objective To prospectively study the influence of continuous aspiration of subglottic secretions (CASS) on ventilator-associated pneumonia (VAP) and reintubation rate. Methods 230 mechanically ventilated patients through o-ral trachea cannula were randomly divided into the treatment group and control group.Tracheal catheter of subglottic suction tube was applied in tracheal intubation of the treatment group,CASS was used after intubation until extubation, while CASS was not used until extubation in the control group.case load of offline within 5 days,and the incidence rate of VAP,reintubation rate within 24 hours for offline patients within 5 days in the two groups,and case load of offline for more than 5 days,and the incidence rate of VAP,reintubation rate within 24 hours for offline patients for more than 5 days in the two groups were observed. Results The rate of offline patients within 5 days in the treatment group was higher than that in the control group (P<0.01),and for offline patients within 5 days,the incidence rate of VAP in the treatment group was lower than that in the control group (P<0.05),and there was no statistical difference of the reintuba-tion rate within 24 hours in the two groups (P>0.05).The rate of offline patients for more than 5 days in the treatment group was lower than that in the control group (P<0.01),and for offline patients for more than 5 days,and there was no statistical difference of incidence rate of VAP in the two groups (P>0.05),reintubation rate within 24 hours in the treat-ment group was lower than that in the control group (P<0.05).The duration of mechanical ventilation in the treatment group was shorter than the control group (P<0.01). Conclusion CASS can reduce the risk of VAP occurrence,but may damage the airway and increase reinbutation rate,especially for those patients with mechanical ventilation in a longer time.关键词
持续声门下吸引/呼吸机相关性肺炎/再插管率Key words
Continuous aspiration of subglottic secretions/Ventilator-associated pneumonia/Reintubation rate分类
医药卫生引用本文复制引用
谢丽娟,蒋勇,黄伟强,黄世英,李翠玲..持续声门下吸引对呼吸机相关性肺炎及再插管率的影响[J].中国当代医药,2014,(35):157-159,3.基金项目
广东省英德市人民医院科研项目 （）
