Diagnosis and Treatment Significance of Invasive and Noninvasive Operation for Ventilator-associated Pneumonia
10.16753/j.cnki.1008-2344.2016.03.010
- VernacularTitle:侵入性及非侵入性操作对呼吸机相关性肺炎诊疗的意义
- Author:
Zhijian LI
1
;
Manjuan YUAN
;
Baoshan HUO
;
Jiping ZHANG
;
Yongguang HUANG
;
Guanqi WU
;
Jianqing XU
;
Jianhuan LI
;
Li′e JIANG
Author Information
1. 广东省佛山市第二人民医院
- Keywords:
invasive operation;
noninvasive operation;
ventilator-associated pneumonia
- From:
Journal of Shenyang Medical College
2016;18(3):157-159
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the diagnosis and treatment significance of invasive and noninvasive operation for ventilator?as?sociated pneumonia ( VAP ) . Methods:A total of 80 cases of VAP suspected patients who had received mechanical ventilation at least 48 hours in ICU from Jun 2014 to Mar 2015 were enrolled. Patients were randomly divided into four groups including noninvasive operation group ( F) , invasive operation group ( Q) , mix group 1 ( H1) and mix group 2 ( H2) . VAP diagnosis rate between groups as well as living time, antibiotic use time, survival rate, calcitonin levels and APACHE II score, oxygenation index were analyzed. Results:Specimen from invasive operation had higher specimens to cultivate positive rate than that from noninvasive operation ( P<0?05), but there was no statistic significant difference in VAP diagnosis rate between two methods (P>0?05). Conclusion:Noninva?sive operation collecting samples for VAP diagnosis is also accurate as invasive one. Collecting specimens from sputum suction tube in the clinical treatment on airway suction is a low cost and simple noninvasive operation.
