中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2011年
22期
114-115
,共2页
邵春梅%王淑敏%李君%张芳云
邵春梅%王淑敏%李君%張芳雲
소춘매%왕숙민%리군%장방운
呼吸机相关性肺炎%机械通气%护理
呼吸機相關性肺炎%機械通氣%護理
호흡궤상관성폐염%궤계통기%호리
Ventilator associated pneumonia%Mechanical ventilation%Nursing
目的 从护理的角度探讨呼吸机相关性肺炎的发生原因及护理预防的措施,减少呼吸机相关性肺炎的发生,提高护理效果,促使患者早日康复.方法 对我院ICU病房行机械通气48 h以上的患者,严格无菌技术操作,加强呼吸机管路系统的管理,保持呼吸道通畅,避免胃-肺感染途径,采取合适的体位,口腔护理病室环境管理及加强医务人员手卫生等方法.结果 本组55例患者中发生呼吸机相关性肺炎的10例,发生率为18.2％.结论 对机械通气患者采取积极有效护理和预防措施能减少呼吸机相关性肺炎的发生.
目的 從護理的角度探討呼吸機相關性肺炎的髮生原因及護理預防的措施,減少呼吸機相關性肺炎的髮生,提高護理效果,促使患者早日康複.方法 對我院ICU病房行機械通氣48 h以上的患者,嚴格無菌技術操作,加彊呼吸機管路繫統的管理,保持呼吸道通暢,避免胃-肺感染途徑,採取閤適的體位,口腔護理病室環境管理及加彊醫務人員手衛生等方法.結果 本組55例患者中髮生呼吸機相關性肺炎的10例,髮生率為18.2％.結論 對機械通氣患者採取積極有效護理和預防措施能減少呼吸機相關性肺炎的髮生.
목적 종호리적각도탐토호흡궤상관성폐염적발생원인급호리예방적조시,감소호흡궤상관성폐염적발생,제고호리효과,촉사환자조일강복.방법 대아원ICU병방행궤계통기48 h이상적환자,엄격무균기술조작,가강호흡궤관로계통적관리,보지호흡도통창,피면위-폐감염도경,채취합괄적체위,구강호리병실배경관리급가강의무인원수위생등방법.결과 본조55례환자중발생호흡궤상관성폐염적10례,발생솔위18.2％.결론 대궤계통기환자채취적겁유효호리화예방조시능감소호흡궤상관성폐염적발생.
Objective To investigate the occurrence cause of ventilator associated pneumouia and preventive strategies from the point of nursing,aimming to reduce the happening of ventilator associated pneumouia and to improve nursing effects and to help rehabilitation of patients.Methods Fifty -five cases underwent mechanical ventilation more than 48 hours in ICU ward in our hospital,administration of strict aseptic manipulation,strengthening management of ventilator,keeping upper airway patency,avoiding infection in gastric - lung pathway,maintaining the effective posture,intensifying management of operators hands,oral nursing and ward environment,was done to prevent ventilator- associated pneumonia.Results Ventilator associated pneumouia happened in 10 cases among 55 patieuts,occuring rate was 18.2％.Conclusions Maintaning preventive strategies and effective nursing can reduce the happening of ventilator - associated pneumonia.
