Clinical effect of swallowing function training on reducing lung infection in craniocerebral injury patients with tracheotomy
10.7619/jcmp.201715007
- VernacularTitle:吞咽功能训练降低颅脑损伤气管切开患者肺部感染的临床研究
- Author:
Xiwu HE
1
;
Fengxuan TIAN
;
Qiang ZHANG
Author Information
1. 青海省人民医院 神经外科
- Keywords:
craniocerebral injury;
tracheotomy;
swallowing function training;
pulmonary infection
- From:
Journal of Clinical Medicine in Practice
2017;21(15):25-28
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore clinical efficacy of swallowing function training in reducing lung infection in craniocerebral injury patients with tracheotomy.Methods A total of 124 craniocerebral injury patients in the hospital were randomized into experimental group and control group, the control group received conventional treatment, while the experimental group took swallowing function training based on the control group, secretion samples of pulmonary infection patients were collected for bacterial culture, identification and susceptibility test, and swallowing, lung infection rate and catheter indwelling time were compared.Results There were 223 strains of pathogens detected in 43 patients with lung infection after culture and isolation, including 65 strains(29.15%) of gram-positive bacteria, 148(66.37%) of gram-negative bacteria, and 18 (8.07%) of fungus.The resistance rates of staphylococcus aureus to penicillin G, ampicillin were more than 87%, and was sensitive to vancomycin, rifampin, and clindamycin.Enterococcus faecalis was resistant to ciprofloxacin, and penicillin G.Staphylococcus epidermidis cocci was sensitive to vancomycin, rifampin, clindamycin.Acinetobacter baumannii, pseudomonas aeruginosa, Klebsiella pneumoniae had higher resistance to ceftazidime, cefotaxime, and ofloxacin, whereas was sensitive to imipenem, and meropenem.And resistance rates of Acinetobacter baumannii and Klebsiella pneumoniae to piperacillin/tazobactam, and cefoperazone/sulbactam were less than 30%;Pseudomonas aeruginosa had wide range of drug resistance, but was sensitive to imipenem, and meropenem only.After treatment, excellent rate in the experimental group was significantly better than the treatment before and the control group (P<0.05).Experimental group had less lung infection and less catheter indwelling time than the control group(P<0.05).Conclusion Swallowing training for craniocerebral injury patients with tracheotomy can effectively reduce lung infection, shorten catheter indwelling time, and improve the prognosis.
