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呼吸过滤器在全麻病人中的临床应用 被引量:1

CLINICAL APPLICATION OF BREATHING FILTER IN GENERAL ANESTHESIA
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摘要 目的:观察呼吸过滤器在气管插管全身麻醉中应用的临床效果及意义。方法:慢性胆囊炎患者204例,ASAⅠ-Ⅱ型。随机分为呼吸过滤器组(A组),对照组(B组)各102例的全麻机械通气,观察术毕24h呼吸道及肺部感染情况。结果:术毕24h,A组呼吸道、肺部感染6例,B组呼吸道、肺部感染26例,A、B两组有显著统计学意义。所有病人痰细菌培养,A组阳性率为3.92%,B组阳性率为19.6%,A、B两组有显著统计学意义(P<0.05)。结论:呼吸过滤器在机械通气期间,可以降低病原体入侵,保护呼吸道,防止室内空气污染,值得临床常规推广应用。 Objective:To observe the clinical effect and clinical significance of the breathing filter used in mechanical ventilation of general anesthesia.Mothods:204 patients with chronic cholecystitis due to gall stone ASA Ⅰ-Ⅱ were randomly divided into two groups :the group of breathing filter (group A n:102) and the control group(group B n:102).Post-operational observation of the occurrence of endobronchitis and pneumonia of 24 hours was done.Results:6 cases of group A and 24 cases of group B had endobronchitis and pneumonia,their difference was significant.The positive rate of cultivation of group A was 3.92% and that of group B was 19.6%,the difference was significant(P〈0.05).Conclusion:The breathing filter may impede the microbacteria and protect the airway from microbial pollution .It is worth clinical use.
出处 《泸州医学院学报》 2007年第3期198-199,共2页 Journal of Luzhou Medical College
关键词 呼吸过滤器 全麻 气管插管 机械通气 Breathing filter General anesthesia Tracheal intubation Mechanical ventilation
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  • 1Torres A,AznarR,Gattll,JM,et al,Incidence,risk,and prognosis factors of nosocomial pneumonia in mechanccally ventilated patients[J].Am Rev Respir Dis,1990;142:523.
  • 2Frank JA,Matthay MA.Science review:mechanism of ventilator-induced injury[J].crit care.2003;7:233.
  • 3Fujita T,Sakurai K.Multivariate analysis of risk factors for postoperative pneumonia[J].Am J surg,1995;169:304.

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