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目的:探讨临床干预措施对患者气管切开后肺部感染的影响。方法:回顾性分析对2011年1月至2012年6月本院本科室的65例气管切开患者对吞咽功能、胃肠道功能和肺部情况进行评估和个体化临床干预,与2010年1月至2010年12月未进行此类干预的57例患者进行对比。结果:观察组肺部感染发生率为55.38%,平均置管时间为(32.53±4.51)d,对照组肺部感染率为75.47%,平均置管时间为(45.15±5.83)d。两组在肺部感染发生率和置管时间上对比差异具有统计学意义(P<0.05)。结论:经个体化临床干预,有效降低了气管切开患者肺部感染发生率,并缩短了置管时间。
Objective: To investigate the effect of clinical intervention on pulmonary infection after tracheotomy in patients. Methods: A retrospective analysis of 65 patients with tracheostomy in our hospital from January 2011 to June 2012 was conducted to evaluate swallowing function, gastrointestinal function and pulmonary conditions, and individualized clinical intervention. 57 patients who did not have such intervention between January and December 2010 were compared. Results: The incidence of pulmonary infection in the observation group was 55.38%, the average catheterization time was (32.53 ± 4.51) d, the control group pulmonary infection rate was 75.47%, the average catheterization time was (45.15 ± 5.83) d. The difference between the two groups in incidence of pulmonary infection and catheterization was statistically significant (P <0.05). Conclusion: Individualized clinical intervention effectively reduces the incidence of pulmonary infection in tracheotomy patients and shortens the time of catheterization.