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目的:探讨浅层吸痰对新生儿呼吸机相关性肺炎(VAP)的影响。方法:将68例气管插管机械通气的新生儿随机分为观察组和对照组各34例,观察组采用浅层吸痰方法,对照组采用传统吸痰方法;比较患儿一次吸痰成功率、吸痰间隔时间、黏膜损伤、发生VAP的例数,及吸痰后患儿发生烦躁、呕吐、气管导管移位或脱出情况。结果:观察组患儿一次吸痰成功率高于对照组(P<0.05),吸痰间隔时间长于对照组(P<0.05),发生黏膜损伤、呕吐、烦躁、气管导管移位或脱出、发生VAP的例数明显低于对照组(P<0.05)。结论:浅层吸痰可减少新生儿VAP的发生,具有临床推广价值。
Objective: To investigate the effect of shallow suction on neonatal ventilator-associated pneumonia (VAP). Methods: A total of 68 neonates with mechanical ventilation of tracheal intubation were randomly divided into observation group (34 cases) and control group (34 cases). The observation group was treated by shallow suction method and the control group by traditional suction method. , Sputum suction interval, mucosal injury, the number of cases of VAP occurred, and sputum in children with irritability, vomiting, tracheal tube displacement or prolapse. Results: The success rate of one sputum aspiration in observation group was higher than that in control group (P <0.05), and the interval between sputum aspiration was longer than that of control group (P <0.05). Mucosal injury, vomiting, irritability, tracheal tube displacement or prolapse occurred The number of VAP cases was significantly lower than that of the control group (P <0.05). Conclusion: Shallow suction can reduce the incidence of neonatal VAP, with clinical value.