解放军护理杂志
解放軍護理雜誌
해방군호리잡지
NURSING JOURNAL OF CHINESE PEOPLE'S LIBERATION ARMY
2014年
12期
29-31
,共3页
机械通气%呼吸机相关肺炎%危险因素%对策
機械通氣%呼吸機相關肺炎%危險因素%對策
궤계통기%호흡궤상관폐염%위험인소%대책
mechanical ventilation%ventilator-associated pneumonia%risk factors%countermeasure
探讨机械通气患者呼吸机相关性肺炎(ventilator-associated pneumonia,VAP)的危险因素,以期为制定相应的防治对策、降低 VAP的发生率提供临床依据.方法便利抽样法选取2010-2012年在上海市第七人民医院重症监护室(in-tensive care unit,ICU)及呼吸内科行机械通气的65例患者为研究对象,分析其临床资料和治疗经过.结果65例患者中有20位患者出现呼吸机相关性肺炎,发生率为30．8％,其中患者合并肺功能减退(OR＝43．19,P＝0．007)、使用抑酸药物(OR＝46．52,P＝0．004)、年龄＞60岁(OR＝26．47,P＝0．034)是导致 VAP发生的3个独立危险因素.结论在 ICU 及呼吸内科重症监护病房中 VAP的发生率仍较高,患者合并有肺功能减退、使用抑酸药物及年龄大于60岁是 VAP 发生的3个独立危险因素,应加强对此类患者的重视,及时采取预防防治措施.
探討機械通氣患者呼吸機相關性肺炎(ventilator-associated pneumonia,VAP)的危險因素,以期為製定相應的防治對策、降低 VAP的髮生率提供臨床依據.方法便利抽樣法選取2010-2012年在上海市第七人民醫院重癥鑑護室(in-tensive care unit,ICU)及呼吸內科行機械通氣的65例患者為研究對象,分析其臨床資料和治療經過.結果65例患者中有20位患者齣現呼吸機相關性肺炎,髮生率為30．8％,其中患者閤併肺功能減退(OR＝43．19,P＝0．007)、使用抑痠藥物(OR＝46．52,P＝0．004)、年齡＞60歲(OR＝26．47,P＝0．034)是導緻 VAP髮生的3箇獨立危險因素.結論在 ICU 及呼吸內科重癥鑑護病房中 VAP的髮生率仍較高,患者閤併有肺功能減退、使用抑痠藥物及年齡大于60歲是 VAP 髮生的3箇獨立危險因素,應加彊對此類患者的重視,及時採取預防防治措施.
탐토궤계통기환자호흡궤상관성폐염(ventilator-associated pneumonia,VAP)적위험인소,이기위제정상응적방치대책、강저 VAP적발생솔제공림상의거.방법편리추양법선취2010-2012년재상해시제칠인민의원중증감호실(in-tensive care unit,ICU)급호흡내과행궤계통기적65례환자위연구대상,분석기림상자료화치료경과.결과65례환자중유20위환자출현호흡궤상관성폐염,발생솔위30．8％,기중환자합병폐공능감퇴(OR＝43．19,P＝0．007)、사용억산약물(OR＝46．52,P＝0．004)、년령＞60세(OR＝26．47,P＝0．034)시도치 VAP발생적3개독립위험인소.결론재 ICU 급호흡내과중증감호병방중 VAP적발생솔잉교고,환자합병유폐공능감퇴、사용억산약물급년령대우60세시 VAP 발생적3개독립위험인소,응가강대차류환자적중시,급시채취예방방치조시.
Objective To discuss the risk factors involved in ventilator-associatedpneumonia(ventilator-as-sociated pneumonia,VAP),and provide clinical evidence for the prevention and measures to reduce the inci-dence of VAP.Methods By convenience sampling,6 5 cases were selected and their clinical data and medical records were analyzed retrospectively.Results The VAP occurred in 20 cases of 65 patients,and the mor-bidity was 30.8%,and the patients with abnormal Pulmonary function(OR=43.19,P=0.007),the use of acid suppressive medication (OR=46.52,P=0.004),and patients whose age were above 60 (OR=26.47,P=0.034)were three independent clinical factors associated with VAP.Conclusion The morbidity of VAP was significant in ICU and respiratory intensive care unit,The patients with abnormal pulmonary function, using the acid suppressing medication and age above 60 years should be taken precautions to prevent VAP.
