中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
11期
28-29
,共2页
老年%呼吸机相关性肺炎%危险因素
老年%呼吸機相關性肺炎%危險因素
노년%호흡궤상관성폐염%위험인소
Elderly%Ventilator associated pneumonia%Risk factors
目的：对老年患者发生呼吸机相关性肺炎(VAP)的危险因素及防治措施进行分析和总结，以期降低老年患者呼吸机相关性肺炎的患病率。方法：回顾性研究ICU科接受呼吸机治疗的老年患者，对比分析VAP患者和非VAP患者的临床资料，对 VAP的危险因素和防治措施进行分析和总结。结果：两组的 APACHEⅡ评分、血浆白蛋白水平、机械通气时间、抗生素连续使用时间、昏迷持续时间等方面比较，差异均有统计学意义(P＜0.05)。结论：老年患者发生呼吸机相关性肺炎的危险因素较多，根据发生VAP的危险因素制定并实施有针对性的防治措施，对降低老年患者VAP的发生率有着重要作用。
目的：對老年患者髮生呼吸機相關性肺炎(VAP)的危險因素及防治措施進行分析和總結，以期降低老年患者呼吸機相關性肺炎的患病率。方法：迴顧性研究ICU科接受呼吸機治療的老年患者，對比分析VAP患者和非VAP患者的臨床資料，對 VAP的危險因素和防治措施進行分析和總結。結果：兩組的 APACHEⅡ評分、血漿白蛋白水平、機械通氣時間、抗生素連續使用時間、昏迷持續時間等方麵比較，差異均有統計學意義(P＜0.05)。結論：老年患者髮生呼吸機相關性肺炎的危險因素較多，根據髮生VAP的危險因素製定併實施有針對性的防治措施，對降低老年患者VAP的髮生率有著重要作用。
목적：대노년환자발생호흡궤상관성폐염(VAP)적위험인소급방치조시진행분석화총결，이기강저노년환자호흡궤상관성폐염적환병솔。방법：회고성연구ICU과접수호흡궤치료적노년환자，대비분석VAP환자화비VAP환자적림상자료，대 VAP적위험인소화방치조시진행분석화총결。결과：량조적 APACHEⅡ평분、혈장백단백수평、궤계통기시간、항생소련속사용시간、혼미지속시간등방면비교，차이균유통계학의의(P＜0.05)。결론：노년환자발생호흡궤상관성폐염적위험인소교다，근거발생VAP적위험인소제정병실시유침대성적방치조시，대강저노년환자VAP적발생솔유착중요작용。
Objective:To analyze and summary the risk factors and preventive measures of ventilator associated pneumonia in elderly patients,to reduce the prevalence of ventilator associated pneumonia in elderly patients.Methods:The elderly patients with ventilator therapy in ICU were analyzed retrospectively.We compared and analyzed the clinical data of patients with VAP and non VAP patients,the risk factors and preventive measures about VAP were analyzed and summarized.Results:The APACHE domain score,plasma albumin level,mechanical ventilation time,continuous use time of antibiotics,coma duration and other aspects of two groups of patients were compared,the differences were statistically significant(P<0.05).Conclusion:The risk factors of ventilator associated pneumonia in elderly patients are more.According to the risk factors of VAP to develop and implement targeted prevention and control measures has important effect to reduce the incidence of VAP in elderly patients.
