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題 名 | 呼吸管路更換頻率對使用呼吸器病人感染肺炎之影響=Impact on Ventilator-associated Pneumonia with Different Intervals of Ventilator Circuit Exchange |
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作 者 | 許家蕙; 江大雄; 楊麗瑟; | 書刊名 | 院內感染控制雜誌 |
卷 期 | 12:1 2002.02[民91.02] |
頁 次 | 頁10-21 |
分類號 | 419.38 |
關鍵詞 | 呼吸器; 管路更換; 呼吸器相關肺炎; Ventilator; Circuit change; Ventilator-associated pneumonia; |
語 文 | 中文(Chinese) |
中文摘要 | 本隨機追蹤研究某區域醫院加護病房使用呼吸器(ventilator)治療的病人,其呼吸管由每週三次更換改變為每週一次更換對呼吸器相關之肺炎(ventilator-associated pneumonia; VAP)感染率的影響。由探討APACHE II指數、昏迷指數、休克狀態、24小時內之生理生化指標、抗生素治療和濕化治療等因素對肺炎感染率的影響,找出影響因素再探討兩組不同呼吸器管更換頻率的病人在肺炎感染率方面的差異性。研究結果發現在136個病人中,肺炎感染率為15.44%。若以呼吸器管路更換方式來分,每週更換一次呼吸管(組一,n=67)感染肺炎之比率為16.42%,每週更換三次呼吸管路(組二,n=69)感染肺炎之比率則為14.49%。其次,以監測呼吸器使用日來看,其每千日使用呼吸器中,感染肺炎就有11.64人次。組一每千日呼吸器感染人次為12.54;組二為10.79。逐步邏輯式迴歸分析結果顯示脈博、呼吸次數、收縮壓、開始使用呼吸器時肺部感染、開始使用呼吸器時呼吸衰竭、開始使用呼吸器時休克、開始使用呼吸器第一天的APCHE II指數和濕化治療都與呼吸器相關肺炎有統計學上的顯著意義(p<0.05)。 |
英文摘要 | The purpose of this prospective study was to explore different methods of ventilator circuit change on lowering ventilator-associated pneumonia (VAP)rates in a regional teaching hospital. Over a 54-week period, 136 patients with the use of ventilators in an intensive care unit were assigned to two groups. Sixty-seven patients in the group 1 received circuit changes once a weed (7d), while 69 patients in the group 2 received circuit changes three times a week(2-3d). The effects of APACHE II score, Glasgow coma scale, shock, vital signs, biophysical values, and the use of antibiotics and nebulizers were investigated. The results showed that the overall VAP of 136 patients was 15.44%: 16.42 in the group 1 and 14.49% in the group 2. On average, there were 11.64 VAP per 1000 ventilator days of 136 patients: 12.54 in the group 1 and 10.79 in the group 2. There was no significant difference between the two groups. Yet, pulse rate, respiratory rate, systolic pressure, pulmonary infection, respiratory failure, shock, 1st day APACHE II score after ventilator therapy within 24hours, and nebulizer therapy were found as significant factors related to the VAP (P<0.05). Ventilator circuit can be safely changed at weekly intervals to save the cost. |
本系統中英文摘要資訊取自各篇刊載內容。