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ID:32378194
大小:625.00 KB
页数:54页
时间:2019-02-04
《两种气管插管方式发生呼吸机相关性肺炎的危险因素研究》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库。
1、Studyonriskfactorsofventilator-associatedpneumoniabytwokindsofendotrachealintubationmethodsAbstractObjectives:ThestudywasaimedatpatientswithoralendotrachealtubeandnoseendotrachealtubeinICU.Twokindsofendotrachealintubationmethodshaveaneffectonventilator-associatedpneumonia,thenanalyzedriskfacto
2、rsforVAP,inordertoprovidetheclinicalevidenceofselectionintubation.ThehomologyofpathogensbetweeninfectioussinusitisandVAPwereidentificationbymolecularbiologyfurther.ItprovidedexperimentalevidencefortheclinicaloccurrenceofVAPpreventionandtheproperconductofartificialairwaycare,particularlytoprovi
3、deevidenceforthenasalcare.Methods:1、SelectedthecasesofmechanicalventilationpatientswithorotrachealintubationornasalintubationinICU,anddividedrandomlyintooralgroupandnasalgroup.Timeofcasetrackingwas7days.RecordedclinicalmanifestationsandexaminationresultstocomparedtheincidenceofVAP;thepatientso
4、foralgroupweredividedintoVAPgroupandnon-VAPgroup.ThepatientsofnasalgroupweredividedintoVAPgroupandnon-VAPgroup.andmadethesinglefactoranalysistoanalysisriskfactorsofVAP.2、Recordedclinicalmanifestationsandexaminationresultstoobservetheincidenceofinfectioussinusitisinnasalgroup.Thecasesofnasalgro
5、upweredividedintosinusitisgroupsandnon-sinusitisgroup,andmadethesinglefactoranalysistoanalysisriskfactorsofsinusitis.Collectednasalbiopsymaterialandlowerrespiratorytractsecretionsformthesamepatientduringthesameperiod,anddonegermiculturetoselectthesamekindsofbacteriacolonization,anditshomologou
6、swereanalyzedwithRAPD-PCR.andtherelationshipofinfectioussinusitisandVAPwasinferred7fromthetimeofbacterialcolonization.Results:1、Collected60patientswithmechanicalventilation,30casesoforalgroupand30casesofnasalgroup.13casesofVAPand17casesofnon-VAPinoralgroup.14casesofVAPand16casesofnon-VAPinnasa
7、lgroup,12casesofsinusitisand18casesofnon-sinusitisinnasalgroup.2、TheVAPattackrateinpatientssupportedbyorotrachealintubationwas43.3%;TheVAPattackrateinpatientssupportedbynasalintubationwas46.7%.theincidenceofthetwogroupshasnosignificantd
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