摘要
目的：比较人工鼻与电热恒温湿化罐预防重症机械通气患者呼吸机相关性肺炎的效果。方法将2012年1-9月呼吸机治疗中使用人工鼻和电热恒温湿化罐的患者按年龄和性别进行1：1配对，分为两组，每组各90例，比较两组患者湿化效果、呼吸机相关肺炎（ VAP）发病率及病死率等指标。结果人工鼻组痰黏稠Ⅲ度患者19例，湿化罐组34例，两组比较差异有统计学意义（χ2＝6．83，P＜0．05）。人工鼻组和湿化罐组患者VAP的发生率分别为3．33％和12．22％，两组比较差异有统计学意义（χ2＝4．96，P＜0．05）。两组患者病死率分别为5．56％和11．11％，差异无统计学意义（χ2＝1．82，P＞0．05）。结论人工鼻的应用可能降低患者呼吸机相关肺炎的发病率，并在一定程度上减轻护理工作量和患者负担。
Objective To compare the effects of artificial nose and electric heating thermostat humidification jar on preventing ventilator-associated pneumonia of severe mechanical ventilation .Methods One hundred and eighty patients who respectively used the artificial nose （ the experimental group ） and electric heating thermostat humidification jar （ the control group ） were matched according to the age and sex , each with 90 cases.The effect of humidification, the incidence rate of ventilator-associated pneumonia （VAP） and the mortality rate were compared between the two groups .Results The cases of Grade Ⅲ sticky sputum were 19 cases in the experimental group , and were 34 cases in the control group , and the difference was statistically significant （χ2 =6.83, P＆lt;0.05）.The incidence rate of VAP was 3.33%in the experimental group , and were 12.22% in the control group, and the difference was statistically significant （χ2 =4.96, P ＆lt;0.05）.The mortality rate was 5.56%in the experimental group , and were 11.11%in the control group, and the difference was not statistically significant （χ2 =1.82, P ＆gt;0.05）.Conclusions The artificial nose can reduce the incidence rate of VAP , and decrease the nursing workload and the burden of patients to a certain extent .
出处
《中华现代护理杂志》
2014年第3期287-290,共4页
Chinese Journal of Modern Nursing
关键词
人工鼻
电热恒温湿化罐
肺炎
呼吸机相关
Artificial nose
Electric heating thermostat humidification jar
Pneumonia,ventilator-associated
