早期个体化干预措施对气管切开患者肺部感染的预防作用

目的：探讨临床干预措施对患者气管切开后肺部感染的影响。方法：回顾性分析对2011年1月至2012年6月本院本科室的65例气管切开患者对吞咽功能、胃肠道功能和肺部情况进行评估和个体化临床干预，与2010年1月至2010年12月未进行此类干预的57例患者进行对比。结果：观察组肺部感染发生率为55．38％，平均置管时间为（32．53±4．51）d，对照组肺部感染率为75．47％，平均置管时间为（45．15±5．83）d。两组在肺部感染发生率和置管时间上对比差异具有统计学意义（P〈0．05）。结论：经个体化临床干预．有效降低了气管切开患者肺部感染发生率，并缩短了置管时间。

Early intervention strategies for prevention of pulmonary infection in patients after tracheotomy

Objective： To investigate the effects of clinical intervention strategies on prevention of pulmonary infection in patients following tracheotomy. Methods： We did a retrospective analysis on the capacity of swallowing, gastrointestinal tract and pulmonary conditions in 65 patients subjected to tracheotomy in Guangzhou General Hospital of Military Command between January 2011 and June 2012, which entailed an individualized intervention. This allowed comparison with the conditions of 53 patients admitted between January 2010 and December 2010 who served as controls. Results： The observation group was associated with significantly reduced incidence of pulmonary infection （55. 38% vs 75. 47% ） and shortened duration of catheterization （ 32.53 ± 4.51 ） days vs （45.15 ± 5.83 ） days ] （ both P 〈 0.05 ）. Conclusion ： Individualized clinical interventions considerably reduce the incidence of pulmonary infection and shortened duration of catheterization in patients treated with tracheotomy.