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目的分析封闭式吸痰在新生儿呼吸窘迫综合征(NRDS)机械通气患儿中的应用效果。方法选取2014年6月—2015年6月徐州市儿童医院收治的NRDS机械通气患儿200例,根据吸痰方式分为对照组和观察组,每组100例。对照组患儿采用一次性吸痰,观察组患儿采用封闭式吸痰。比较两组患儿机械通气时间、吸痰时间、呼吸机相关性肺炎发生率、住院费用、吸痰费用。结果观察组患者机械通气时间、吸痰时间短于对照组,呼吸机相关性肺炎发生率、住院费用低于对照组,吸痰费用高于对照组(P<0.05)。结论封闭式吸痰可有效降低NRDS机械通气患儿呼吸机相关性肺炎发生率,缩短住院时间及减少住院费用。
Objective To analyze the effect of closed suction in neonatal respiratory distress syndrome (NRDS) patients with mechanical ventilation. Methods 200 children with NRDS mechanical ventilation admitted from June 2014 to June 2015 in Xuzhou Children’s Hospital were divided into control group and observation group with 100 cases in each group according to suctioning method. The control group of children with a one-time suction sputum, observation group of children with closed suction sputum. The mechanical ventilation time, suction time, the incidence of ventilator-associated pneumonia, hospitalization costs and suctioning costs were compared between the two groups. Results The observation group had shorter duration of mechanical ventilation and suctioning time than those of the control group. The incidence of ventilator-associated pneumonia and hospitalization cost were lower in the observation group than in the control group, and the suctioning cost was higher than that of the control group (P <0.05). Conclusion Closed suction can effectively reduce the incidence of ventilator-associated pneumonia in children with NRDS mechanical ventilation, shorten the hospital stay and reduce hospitalization costs.