论文部分内容阅读
目的:研究气道物理干预对呼吸机相关肺炎的预防和治疗作用。方法:选择在我院就诊并接受呼吸机辅助呼吸的患者作为本次前瞻性研究的对象,随机分为给予气道物理干预的观察组和常规干预的对照组,观察呼吸机相关肺炎发生例数、肺部感染严重程度、机械通气情况及远期生活质量。结果:观察组CPIS评分均低于对照组,VAP发生例数、X线征象消失消失时间、肺部啰音缓解时间、机械通气时间、VAP治愈时间均明显低于对照组;血氧饱和度以及治疗后1个月、3个月、6个月、12个月时的生活质量评分均明显高于对照组。结论:气道物理干预对呼吸机相关肺炎具有积极的预防价值和治疗价值。
Objective: To study the preventive and therapeutic effects of airway physical intervention on ventilator-associated pneumonia. Methods: The patients who were treated in our hospital and received ventilator assisted breathing were selected as the subjects of this prospective study. They were randomly divided into observation group for physical intervention of airway and control group for routine intervention. The incidence of ventilator-associated pneumonia , Severity of lung infection, mechanical ventilation and long-term quality of life. Results: The CPIS scores of the observation group were lower than that of the control group. The number of VAP, the disappearance of X-ray signs, the time of pulmonary arachnoid relief, the duration of mechanical ventilation and the cure time of VAP were significantly lower in the observation group. The oxygen saturation, The quality of life scores at 1 month, 3 months, 6 months and 12 months after treatment were significantly higher than those in the control group. Conclusion: Physical intervention of airway has positive preventive and therapeutic value on ventilator-associated pneumonia.