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莫匹罗星软膏涂抹鼻腔对预防呼吸机相关性肺炎的研究与观察

Research and observation of mupirocin ointment in nasal cavity for prevention of ventilator-associated pneumonia

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【作者】 黄海星刘玉珍韩素琴王园园陈秋弟

【Author】 HUANG Hai-xing;LIU Yu-zhen;HAN Su-qin;ICU, The First Affiliated Hospital of Medical School of Shantou University;

【机构】 汕头大学医学院第一附属医院ICU

【摘要】 目的探讨ICU机械通气患者经鼻腔涂抹莫匹罗星软膏在预防呼吸机相关性肺炎(VAP)中的影响。方法 56例ICU机械通气的危重患者,随机分为对照组和实验组,各28例。对照组采用机械通气常规护理措施,实验组采用机械通气常规护理措施的基础上给予莫匹罗星软膏涂抹鼻腔。观察两组机械通气时间、住ICU时间及VAP的发生率和死亡率。结果实验组患者VAP发生率、死亡率低于对照组,差异有统计学意义(P<0.05)。结论 ICU机械通气的危重患者常规护理同时给予莫匹罗星软膏涂抹鼻腔,能有效降低VAP发生率及死亡率,临床可推广应用。

【Abstract】 Objective To investigate influence of mupirocin ointment in nasal cavity on prevention of ventilator-associated pneumonia(VAP) in ICU mechanical ventilation patients. Methods A total of 56 critical patients in ICU receiving mechanical ventilation were randomly divided into control group and experimental group, with 28 cases in each group. The control group received conventional nursing measures in mechanical ventilation, and the experimental group received additional mupirocin ointment in nasal cavity. Mechanical ventilation time, ICU stay time, incidence of VAP, and mortality rate were observed in the two groups. Results The experimental group had much lower incidence of VAP and mortality rate than the control group, and their difference had statistical significance(P<0.05). Conclusion Implement of mupirocin ointment in nasal cavity for critical mechanical ventilation patients in ICU can effectively reduce incidence of VAP and mortality rate. This method is worth clinical promotion and application.

【基金】 广东省医学科研基金立项课题(项目编号:A2013402)
  • 【文献出处】 中国实用医药 ,China Practical Medicine , 编辑部邮箱 ,2015年32期
  • 【分类号】R473.5
  • 【被引频次】1
  • 【下载频次】69
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