發(fā)布時(shí)間：2018-11-29 13:29

【摘要】：目的探討不同濕化氧療對(duì)先天性心臟病術(shù)后嬰幼兒下呼吸道感染的影響,為臨床制定預(yù)防控制措施提供依據(jù)。方法選取2012年6月-2015年5月醫(yī)院收治的3月~3歲的先天性心臟病術(shù)后停用呼吸機(jī)拔除氣管插管需要氧療患兒100例,分為兩組,觀察組采用新西蘭MR810呼吸機(jī)加溫濕化器將濕化液加溫,氧氣吸入管口氣體溫度為32~36℃,對(duì)照組采用常溫濕化液,氧氣吸入管口氣體溫度為20~26℃;各組分別于吸氧前、吸氧48h后觀察臨床肺部感染評(píng)分(CPIS);統(tǒng)計(jì)兩組吸氧前與吸氧48h后下呼吸道感染率和病原菌檢出情況。結(jié)果兩組在吸氧前CPIS差異無統(tǒng)計(jì)學(xué)意義,吸氧48h后觀察組CPIS下降更為顯著,差異有統(tǒng)計(jì)學(xué)意義(P0.05);同組間比較,對(duì)照組吸氧前后CPIS差異無統(tǒng)計(jì)學(xué)意義,觀察組吸氧前后CPIS差異有統(tǒng)計(jì)學(xué)意義(P0.05);吸氧48h后觀察組下呼吸道感染率下降更為顯著;共分離出22株病原菌,以革蘭陰性菌為主。結(jié)論加溫濕化氧療能降低先天性心臟病嬰幼兒心臟手術(shù)后肺部感染評(píng)分,能有效地減少呼吸道感染并發(fā)癥的發(fā)生。
[Abstract]:Objective to investigate the effect of different humidification oxygen therapy on infantile lower respiratory tract infection after operation of congenital heart disease and to provide evidence for clinical prevention and control. Methods from June 2012 to May 2015, 100 children with congenital heart disease aged from 3 months to 3 years old who were treated in hospital from June 2012 to May 2015 were divided into two groups. In the observation group, the humidification liquid was heated with a New Zealand MR810 respirator, the gas temperature of the oxygen suction nozzle was 32 鈩，

本文編號(hào)：2365123