气管导管抗菌处理后在防治呼吸机相关性下呼吸道感染的临床应用_余长智.pdfVIP

·2118 · Chin J osocomiol Vol.19 o.16 2009 ·　 · 余长智, 吐尔洪 ·艾萨, 周　燕 (ICU, 843000) :　(VALRI)。　 (), , 、、。 　(MV)5 d , (VAP)、-(VA RI) (4.8%、8.4%)(16.7%、22.6%, P0.05);VAP、VARI 〔(10.3±4.2)d、 (9.4±3.0)d〕〔(4.5 ±2.8)d、(4.0±2.4)d〕; MV (14 ±18)d (22 ±20)d;(8.3%)(20.2%), (P0.05);86.5% , 。　 VALRI , VARI VAP , M V , ; VALRI 。 :;;; + :R181.3 2　　:A　　:1005-4529(2009)16-2118-03 Antibacterial-processedEndotracheal Tube onPreventionof VentilatorAssociatedLowerRespiratory Infection YU Chang-zhi, T UERHO G ·Ai-sa, ZHOU Yan (The Fourth Hosp ital Af f iliated to Medical College, Shihez i University , Aksu, X inj iang 843000, China) Abstract:OBJECTIVE To reduce the occurrence of ventilator associated lower respiratory infection(VALRI)with the simple effective method. ETHODS All studied patients who received mechanical ventilation(M V)in ICU were divided into the study group (antibacterial-processed endotracheal tube group)and the control group. Bacterial culture of samples from endotracheal tube inwall and lower respiratory tract were obtained periodically. The clinical data such as the duration of MV, the time of occurrence of VALRI, and the case fatality rate were recorded and analyzed.RESULTS In patients with MV 5 days:the incidence of VAP and ventilator-associated respiratory infection(VARI)in the study group (VAP:4.8% and VARI:8.4% )were lower than those in the control group (VAP:16.7% and VARI:22.6%, P0.05).The onset of VAP and VARI was delayed in the study group 〔VAP:(10.3±4.2)d and VARI:(9.4±3.0)d〕as compared with the control group 〔VAP:(4.5± 2.8)d and VARI:(4.0±2.4)d, P0.05〕.The M V time of the study group (14±18)d was shorten than the control group (22±20)d.The mortality of th