摘要
Abstract
Objective:To explore the application of suction endotracheal intubation in ventilator associated pneumonia (VAP). Methods:63 patients undergoing tracheotomy and mechanical ventilation via endotracheal intubation were dividedinto observation group (n =32)and control group (n =31 )randomly.After percutaneous dilation tracheostomy,the observation group received intermittent suction endotracheal intubation of subglottic secretion while the control group received common endotracheal intubation.The daily times of sputum suction,amounts of suction secretion,frequency of bucking by irritating,time of mechanical ventilation,incidence of VAP during mechanical ventilation(within 48 h)and after catheter drawing (within 48 h)and difference of duration were recorded.Results:The daily times of sputum suction,frequency of cough by irritating and time of mechanical ventilation in observation group were obvious-ly less than those of control group,but amount of suction secretion was higher in observation group than control group (P <0.01 ).Inci-dence of VAP and its duration in observation group were both obviously less than those of control group (P <0.05,P <0.01 ).Conclu-sion:For tracheotomy and mechanical ventilation patients giving intermittent suction endotracheal intubation can remove subglottic se-cretion efficaciously,reduce bucking frequency,and decrease the incidence of VAP and its duration which is in favor of recovery.关键词
呼吸机相关性肺炎/气管导管/气管切开/机械通气Key words
Ventilator associated pneumonia(VAP)/Endotracheal intubation/Tracheotomy/Mechanical ven-tilation分类
医药卫生
