不同气管内吸痰方式对降低ICU患者呼吸机相关性肺炎的效果探讨（医药学论文资料）.docVIP

不同气管内吸痰方式对降低ICU患者呼吸机相关性肺炎的效果探讨（医药学论文资料） 文档信息 ： 文档作为关于“医学心理学”中“重症医学”的参考范文，为解决如何写好实用应用文、正确编写文案格式、内容素材摘取等相关工作提供支持。正文5962字，doc格式，可编辑。质优实惠，欢迎下载！ 目录 TOC \o 1-9 \h \z \u 目录 1 正文 1 文1：不同气管内吸痰方式对降低ICU患者呼吸机相关性肺炎的效果探讨 2 1 资料与方法 3 2 结果 4 3 讨论 5 文2：集束化护理干预对预防ICU机械通气患者呼吸机相关性肺炎的效果观察 6 1 资料与方法 6 2 结果 7 3 讨论 8 参考文摘引言： 9 原创性声明（模板） 10 文章致谢（模板） 10 正文 不同气管内吸痰方式对降低ICU患者呼吸机相关性肺炎的效果探讨（医药学论文资料） 文1：不同气管内吸痰方式对降低ICU患者呼吸机相关性肺炎的效果探讨 Observation of the Effect of Different Endotracheal Suctioning Ways on Reducing the Ventilator-associated Pneumonia in ICU Patients FAN Wei Respiratory Department， The Third People’s Hospital of Chengdu， Chengdu， Sichuan Province， 610031， China [Abstract] Objective To evaluate the clinical effect of different endotracheal suctioning ways on reducing the ventilator-associated pneumonia in ICU patients. Methods A total of 84 cases underwent mechanical ventilation in the ICU of our hospital from June 2010 to May 2013 were selected and randomly divided into the observation group and the control group. 42 cases in the observation group were given closed endotracheal suctioning， while 42 cases in the control group were given open endotracheal suctioning. And the bacteria detection rate of cultured bronchoalveolar lavage fluid and the incidence of ventilator-associated pneumonia of the two groups after endotracheal suctioning ventilation were observed and compared. Results After 48 h， 72 h of ventilation and at the time of stopping ventilation， in the observation group， the incidence of ventilation-associated pneumonia was %， %， %， respectively， and that in the control group was %， %， %， respectively， the differences between the two groups were statistically significant(P [Key words] Closed endotracheal suctioning； Open endotracheal suctioning； Ventilator-associated pneumonia [作者简介]范玮(1982-)，男，四川资阳人，本科，护师，研究方向：呼吸重症。 呼吸机相关性肺炎(VAP)是指机械通气48 h至停止通气拔管后48 h这段时间内出现的肺炎，是ICU患者中最常见的院内感染，其中通气4 d内发生的肺炎称为早发型呼吸机相关性肺炎，5 d为晚发型呼吸机相关性肺炎[1]。应用机械通气的患者多为重症患