| 三种不同呼吸道湿化方法对呼吸机相关性肺炎发生率的影响 |
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| 引用本文： | 缪静波,冯琦蔚,王佩珍,计文韬,王枫,顾秋莹.三种不同呼吸道湿化方法对呼吸机相关性肺炎发生率的影响[J].解放军护理杂志,2009,26(6):5-7,10. |
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| 作者姓名： | 缪静波 冯琦蔚 王佩珍 计文韬 王枫 顾秋莹 |
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| 作者单位： | 上海交通大学医学院附属瑞金医院,呼吸科,上海,200025 |
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| 摘 要： | 目的探讨三种不同呼吸道湿化方式对呼吸机相关性肺炎发生率的影响。方法选择2006年9月至2008年9月入住本院重症监护病房建立人工呼吸道并应用呼吸机患者共60例，按照入院先后设立3组，每组20例，分别为人工鼻＋即时湿化组（A组），持续点滴组（B组，用输液泵控制滴速）、湿化器组（C组）。每组观察时间为2～4周，观察指标包括体温、血白细胞计数、中性白细胞计数、痰培养结果等等。结果B组患者呼吸机相关性肺炎发生率最低，为20％，与其他两组的差异有统计学意义（x^2=19．798，P〈0．01）。结论持续点滴湿化法（用输液泵控制滴速）在预防呼吸机相关性肺炎发生中具有良好的效果。
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| 关 键 词： | 呼吸道湿化方法 呼吸机相关性肺炎 发生率 护理 |
Effects of Three Different Airway Humidification Methods on Incidence of Ventilator-associated Pneumonia |
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| MIAO Jing-bo,FENG Qi-wei,WANG Pei-zhen,JI Wen-tao,WANG Feng,GU Qiu-ying.Effects of Three Different Airway Humidification Methods on Incidence of Ventilator-associated Pneumonia[J].Nursing Journal of Chinese People's Liberation Army,2009,26(6):5-7,10. |
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| Authors: | MIAO Jing-bo FENG Qi-wei WANG Pei-zhen JI Wen-tao WANG Feng GU Qiu-ying |
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| Institution: | Department of Respiratory Medicine;Affiliated Ruijin Hospital;Medical School of Shanghai JiaoTong University;Shanghai 200025;China |
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| Abstract: | Objective To investigate the influence of three different airway humidification methods on incidence of ventilator-associated pneumonia(VAP).Methods Sixty patients with artificial airway and mechanical ventilator in ICU of Ruijin hospital from Sep 2006 to Sep 2008 were equally divided into three groups based on order sequences: Group A treated with instant humidification and artificial nose,Group B with lasting humidification and infusion set;Group C with humiditifier.Temperature,leucocyte numbers,neutrophi... |
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| Keywords: | airway humidification methods ventilator-associated pneumonia （VAP） incidence nursing care |
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