本文選題：鼻腔 + 干預(yù)措施�。� 參考：《中華醫(yī)院感染學(xué)雜志》2016年05期

【摘要】：目的探討術(shù)前鼻腔干預(yù)措施對氣管插管全身麻醉手術(shù)患者術(shù)后下呼吸道感染的預(yù)防效果,為預(yù)防患者術(shù)后下呼吸道感染提供依據(jù)。方法 2013年6月-2015年6月行氣管插管全身麻醉擇期手術(shù)治療的920例患者為研究對象,采用隨機數(shù)字表法將患者隨機分為觀察組和對照組,每組各460例;對照組患者給予常規(guī)術(shù)前準(zhǔn)備,干預(yù)組在對照組基礎(chǔ)上給予35~38℃溫生理鹽水進行懸掛式鼻腔沖洗,0.1%聚維酮碘行鼻腔消毒等鼻腔干預(yù)措施,觀察兩組患者術(shù)后下呼吸道感染的發(fā)生率和病原菌分布。結(jié)果觀察組患者下呼吸道感染率為4.57%,顯著低于對照組的7.83%,差異有統(tǒng)計學(xué)意義(χ2=4.208,P0.05);觀察組21例下呼吸道感染患者檢測出病原菌25株,對照組36例下呼吸道感染患者檢測出病原菌49株,兩組均以肺炎克雷伯菌及金黃色葡萄球菌為主要病原菌;觀察組下呼吸道感染患者的平均住院天數(shù)、住院費用顯著低于對照組下呼吸道感染者,差異均有統(tǒng)計學(xué)意義(P0.05)。結(jié)論術(shù)前給予經(jīng)鼻氣管插管全身麻醉手術(shù)患者鼻腔沖洗及消毒等干預(yù)措施,可以有效預(yù)防術(shù)后下呼吸道感染的發(fā)生。
[Abstract]:Objective to investigate the preventive effect of preoperative nasal intervention on lower respiratory tract infection in patients undergoing general anesthesia with tracheal intubation, and to provide evidence for prevention of lower respiratory tract infection after tracheal intubation. Methods from June 2013 to June 2015, 920 patients undergoing tracheal intubation under general anesthesia were randomly divided into observation group (n = 460) and control group (n = 460). The patients in the control group were given routine preoperative preparation, the intervention group was given 35 鈩，

本文編號：1811415