CAJ | 학술논문

目的：探讨重症医学科呼吸机相关性肺炎（ventilator-associated pneumonia，VAP）的发生及其危险因素，以便更好地指导临床工作。方法采用查阅病例的方式，回顾性分析158例在重症医学科住院行机械通气患者的临床资料，分析患者VAP的发生及其危险因素。结果机械通气时间、留置胃管是重症医学科患者VAP发生的主要危险因素（P＜0.01）。结论每天评估患者停止机械通气的可能性，尽早停止机械通气；保持口咽清洁，减少细菌定植；加强环境清洁和空气消毒管理；做好气管切开的护理；提高护理操作技术水平对降低VAP的发生具有重要的作用。
목적：탐토중증의학과호흡궤상관성폐염（ventilator-associated pneumonia，VAP）적발생급기위험인소，이편경호지지도림상공작。방법채용사열병례적방식，회고성분석158례재중증의학과주원행궤계통기환자적림상자료，분석환자VAP적발생급기위험인소。결과궤계통기시간、류치위관시중증의학과환자VAP발생적주요위험인소（P＜0.01）。결론매천평고환자정지궤계통기적가능성，진조정지궤계통기；보지구인청길，감소세균정식；가강배경청길화공기소독관리；주호기관절개적호리；제고호리조작기술수평대강저VAP적발생구유중요적작용。
Objective To analysis the occurrence and risk factors of ventilator-associated pneumonia(VAP)in intensive care unit in order to direct the clinical work.Method The clinical data of 158 cases receiving mechanical ventilation in ICU were retrospectively analyzed to investigate the incidence of VAP and risk factors.Result Mechanical ventilation and intubation of nasogastric tubes were the main risk factors of VAP(P<0.01).Conclusion The nursing measures such as earlier extubating, keeping the oropharynx clean,decreasing the risk of colonization,strengthening disinfection and air purification,paying attention to the tracheotomy nursing and enhancing nursing procedure skills are important for VAP prevention.