中华现代护理杂志
中華現代護理雜誌
중화현대호리잡지
CHINESE JOURNAL OF MODERN NURSING
2011年
11期
1278-1279
,共2页
老年重症患者%机械通气%呼吸机相关性肺炎%护理
老年重癥患者%機械通氣%呼吸機相關性肺炎%護理
노년중증환자%궤계통기%호흡궤상관성폐염%호리
Aged critical patients%Mechanical ventilation%Ventilator acquired pneumonia%Nursing
目的 探讨使用呼吸机的老年重症患者减少发生呼吸机相关性肺炎(VAP)的护理措施.方法 对148例65岁以上机械通气患者给予细致的护理,观察VAP发生率及病死率.结果 148例患者中43例发生VAP,发生率29.1%,24例死亡,死因是原发病危重或(和)合并多器官功能衰竭.结论 在呼吸机治疗期间,严格操作、细致的基础护理,在一定程度上可预防和减少VAP的发生.
目的 探討使用呼吸機的老年重癥患者減少髮生呼吸機相關性肺炎(VAP)的護理措施.方法 對148例65歲以上機械通氣患者給予細緻的護理,觀察VAP髮生率及病死率.結果 148例患者中43例髮生VAP,髮生率29.1%,24例死亡,死因是原髮病危重或(和)閤併多器官功能衰竭.結論 在呼吸機治療期間,嚴格操作、細緻的基礎護理,在一定程度上可預防和減少VAP的髮生.
목적 탐토사용호흡궤적노년중증환자감소발생호흡궤상관성폐염(VAP)적호리조시.방법 대148례65세이상궤계통기환자급여세치적호리,관찰VAP발생솔급병사솔.결과 148례환자중43례발생VAP,발생솔29.1%,24례사망,사인시원발병위중혹(화)합병다기관공능쇠갈.결론 재호흡궤치료기간,엄격조작、세치적기출호리,재일정정도상가예방화감소VAP적발생.
Objective Discuss the nursing interventions for reducing the VAP incidence for aged critical patients. Methods The clinical data of 148 patients of more than 65 years with mechanical ventilation (MV) were analyzed retrospectively. The incidence of VAP and the fatality rate were observed. Results 43 cases were confirmed with VAP in 148 patients, the incidence rate was 29.1%. 24 patients died from severe primary diseases or/and multiple organ failure. Conclusions For patients with mechanical ventilation, strict procedure, micromesh basic nursing were vital for prevention and reduction of the incidence of VAP.
