| 王翠云.模拟肺规范化管理对ICU呼吸机相关性肺炎的影响[J].安徽医药,2018,22(10):2048-2050. |
| 模拟肺规范化管理对ICU呼吸机相关性肺炎的影响 |
| Effect of simulated lung standardized management on ventilator associated pneumonia in ICU |
| 投稿时间：2017-04-11 |
| DOI： |
| 中文关键词: 心肺机 呼吸,人工 器材管理,医院 肺炎,呼吸机相关性 因果律 |
| 英文关键词: Heart-lung machine Respiration,artificial Materials management,hospital Pneumonia,ventilator-associated Causality |
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| 中文摘要: |
| 目的 探讨ICU模拟肺的规范化管理措施,对ICU呼吸机相关性肺炎的发生率的影响。 方法 对2015年 1月1日至12月31日入住安徽医科大学第一附属医院的有创机械通气患者模拟肺采用常规管理方法:无专人管理模拟肺,使用后的模拟肺外表面、外接口给予75%乙醇擦拭消毒,再用一次性无菌巾包裹,不定期将使用后的模拟肺送供应室予环氧乙烷消毒灭菌,为对照组；对2016年1月1日至12月31日入住ICU的机械通气患者模拟肺采用规范化管理方法:设专人管理模拟肺,定点放置,使用中严格执行手卫生及无菌操作原则,模拟肺定点放置集中予环氧乙烷消毒灭菌,为观察组。观察两组患者呼吸机相关性肺炎的发生率及使用中模拟肺内表面的带菌率。 结果 对照组和观察组呼吸机相关性肺炎的发生率分别为18.6%(13/70)和7.1%(5/70),差异有统计学意义(P<0.05);对照组和观察组使用中的模拟肺带菌率分别为45%和5%,差异有统计学意义(P<0.05)。 结论 ICU模拟肺的规范化管理措施,可降低ICU呼吸机相关性肺炎的发生率及使用中模拟肺内表面的带菌率。 |
| 英文摘要: |
| Objective To explore simulated lung standardized management measures,and the effect on the incidence of ventilator-associated pneumonia in ICU. Methods Conventional management methods were used among the patients with mechanical ventilation lung simulation admitted to The First Affiliated Hospital of Anhui Medical University from January 1,5 to December 31,5:there was no special management of simulated lung;after the use of simulated lung the surface and external interface were given 75% ethanol wipe disinfection,and then use disposable sterile towel package,non-regular use of the simulated lung delivery room to the sterilization of ethylene oxide) in The First Affiliated Hospital of Anhui Medical University from January 1 to December 31,5 were selected as control group;patients with mechanical ventilation lung simulation using standardized management method (set up a special management,fixed-point placement of simulated lung,the use of strict implementation of hand hygiene and aseptic operation principles,the simulated pulmonary sentinel placement was concentrated in the disinfection and sterilization of ethylene oxide) in department of ICU from january 1 to December 31,6 were selected as observation group.The incidence of ventilator-associated pneumonia and the carrier rate of pulmonary surface bacteria during use were observed in the two groups. Results The incidences of ventilator-associated pneumonia in control group and observation group were 18.6% (13/70) and 7.1% (5/70),respectively,and the difference was statistically significant (P<0.05);the infection rate of simulated lung in control group and observation group were 45% and 5%,respectively,and the difference was statistically significant (P<0.05). Conclusions Simulated lung standardized management measures in ICU could reduce the incidence of ventilator-associated pneumonia and the carrier rate of pulmonary surface bacteria during use |
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