当前位置: 首页 > 期刊 > 《中华现代临床护理学杂志》 > 2006年第2期
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ICU昏迷患者下呼吸道感染危险因素与护理
http://www.100md.com 《中华现代临床护理学杂志》 2006年第2期
呼吸道感染,,昏迷;呼吸道感染;危险因素;研究,1临床资料,2讨论,参考文献】
     【摘要】 目的 研究昏迷患者下呼吸道感染危险因素,并采取相应的降低感染率的护理措施。方法 采用前瞻性的临床研究,将1999年6月~2005年1月入住ICU的昏迷患者共104例,按有无人工气道分为两组,并排除原有慢性呼吸道疾病及已发生下呼吸道感染者,两组均实行定时翻身、肺部叩击等呼吸道护理。结果 人工气道组感染率为85.07%,无人工气道组感染率为35.14%,两组资料经统计学分析,P<0.05,差异有显著性。结论 气管插管与气管切开等人工气道的建立,破坏了呼吸道的自然屏障,是下呼吸道感染的危险因素之一。维持人工气道的内环境平衡,使之符合生理的要求可降低感染的发生。

    【关键词】 昏迷;呼吸道感染;危险因素;研究

    Risk factors and nursing measures for patients with low respiratory tract infection in ICU

    WU Yu-qin,YE Qiao,CHEN Xiao-zhen,et al.

    The Second Peoples Hospital,Wenzhou 325000,China

    【Abstract】 Objective To study on risk factors of ICU coma patients who suffered from low respiratory tract infection(hospital acquired pneumonia,HAP),then perform relevant nursing care to reduce the HAP rates.Methods From June 1999 to Janurary 2005,104 ICU coma patients according to whether they had artificial respiratory tract(ART)or not,were divided into two groups,and these patients were all without COPD or HAP before being enrolled.These two groups patients were given the same nursing care such as changing positions at regular time,back patting every two hours,appropriate sputum suction.Results In the ART group HAP rate were 85.07%,nonART group were 35.14%.The difference between these of two groups were significant(P<0.05).Conclusion ART such as trachea intubation and tracheotomy,which can damage respiratory tract natural defensive function,is one of the risk factors of HAP.Those measures to balance the internal environment respiratory tract of to meet its physiological needs will result that HAP in ART patients reduce. ......

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