国际呼吸杂志
國際呼吸雜誌
국제호흡잡지
INTERNATIONAL JOURNAL OF RESPIRATION
2014年
19期
1487-1489
,共3页
早产儿%呼吸机辅助呼吸%肺炎%危险因素
早產兒%呼吸機輔助呼吸%肺炎%危險因素
조산인%호흡궤보조호흡%폐염%위험인소
Preterm children%Ventilator-assisted breathing%Pneumonia%Risk factors
目的 探讨早产儿应用呼吸机辅助呼吸后导致呼吸机相关性肺炎(VAP)的临床特点及危险因素.方法 对我院收治的应用呼吸机辅助呼吸后导致VAP的早产儿临床资料进行回顾性分析,对两组机械通气患者发生VAP的危险因素进行比较,对筛选出独立性较好的因素进行多因素逐步Logistic回归分析,总结导致早产儿VAP的临床特点及危险因素.结果 与无VAP患儿比较,VAP患儿胎龄较低、出生体质量较低、机械通气时间较长、留置胃管时间较长、气管插管次数较多,差异均有统计学意义(x2 =6.93,P值均＜0.05).Logistic回归分析示,出生体质量越重,VAP发生率越低,机械通气时间越长,气管插管次数越多,VAP发生率越高(x2=8.49,P值均＜0.05).结论 胎龄、出生体质量、机械通气时间、留置胃管时间、气管插管次数是早产儿VAP的危险因素.
目的 探討早產兒應用呼吸機輔助呼吸後導緻呼吸機相關性肺炎(VAP)的臨床特點及危險因素.方法 對我院收治的應用呼吸機輔助呼吸後導緻VAP的早產兒臨床資料進行迴顧性分析,對兩組機械通氣患者髮生VAP的危險因素進行比較,對篩選齣獨立性較好的因素進行多因素逐步Logistic迴歸分析,總結導緻早產兒VAP的臨床特點及危險因素.結果 與無VAP患兒比較,VAP患兒胎齡較低、齣生體質量較低、機械通氣時間較長、留置胃管時間較長、氣管插管次數較多,差異均有統計學意義(x2 =6.93,P值均＜0.05).Logistic迴歸分析示,齣生體質量越重,VAP髮生率越低,機械通氣時間越長,氣管插管次數越多,VAP髮生率越高(x2=8.49,P值均＜0.05).結論 胎齡、齣生體質量、機械通氣時間、留置胃管時間、氣管插管次數是早產兒VAP的危險因素.
목적 탐토조산인응용호흡궤보조호흡후도치호흡궤상관성폐염(VAP)적림상특점급위험인소.방법 대아원수치적응용호흡궤보조호흡후도치VAP적조산인림상자료진행회고성분석,대량조궤계통기환자발생VAP적위험인소진행비교,대사선출독립성교호적인소진행다인소축보Logistic회귀분석,총결도치조산인VAP적림상특점급위험인소.결과 여무VAP환인비교,VAP환인태령교저、출생체질량교저、궤계통기시간교장、류치위관시간교장、기관삽관차수교다,차이균유통계학의의(x2 =6.93,P치균＜0.05).Logistic회귀분석시,출생체질량월중,VAP발생솔월저,궤계통기시간월장,기관삽관차수월다,VAP발생솔월고(x2=8.49,P치균＜0.05).결론 태령、출생체질량、궤계통기시간、류치위관시간、기관삽관차수시조산인VAP적위험인소.
Objective To investigate the application of preterm children after ventilator-assisted breathing cause of ventilator-associated pneumonia (VAP) clinical features and risk factors.Methods Application of our hospital ventilator-assisted breathing lead to premature children after clinical data were retrospectively analyzed VAP,the risk factors in mechanically ventilated patients with VAP groups were compared,for better screening independence multivariate factors Logistic regression analysis,summarized the clinical features lead to preterm children and the risk factors for VAP.Results Compared with patients without VAP,VAP children with lower gestational age,low birth weight,longer duration of mechanical ventilation,longer indwelling stomach tube,endotracheal intubation more frequently,the differences were statistically significant (x2 =6.93,all P ＜0.05).Logistic regression analysis indicated that the heavier birth weight,the lower the incidence of VAP,duration of mechanical ventilation longer intubation more times higher incidence of VAP group (x2 =8.49,all P ＜0.05).Conclusions Gestational age,birth weight,duration of mechanical ventilation,indwelling stomach tube time,the number of endotracheal intubation is a risk factor for VAP in premature children.
