护理实践与研究
護理實踐與研究
호리실천여연구
ATTEND TO PRACTICE AND RESEARCH
2014年
12期
99-101
,共3页
呼吸机相关性肺炎%危险因素%营养危险指数
呼吸機相關性肺炎%危險因素%營養危險指數
호흡궤상관성폐염%위험인소%영양위험지수
Ventilator associated pneumonia%Risk factors%Nutritional risk index
目的：：探讨呼吸机相关性肺炎的危险因素与护理对策。方法：选取2012年1月~2013年12月我院住院的60例呼吸机相关性肺炎病例为观察组，并随机选择同时期行机械通气未发生呼吸机相关性肺炎病例60例作为对照组。单因素分析采用t检验或χ2检验，多因素分析采用logistic回归分析。结果：两组病例经单因素分析发现，年龄≥65岁、机械通气时间≥5 d、营养危险指数( NRI)≤55、急性生理和慢性健康( A-PACHE Ⅱ)评分≥15、吸痰方式、纤维支气管镜吸痰和使用抗菌药物与呼吸机相关性肺炎有关(P<0.05)。 Logistic多因素回归分析发现，年龄≥65岁(OR 7.30)、机械通气时间≥5 d(OR 4.60)、营养危险指数(IVRI)≤55(OR 3.12)和急性生理和慢性健康(APACHEⅡ)评分≥15(OR 6.13)为独立危险因素。结论：年龄≥65岁、机械通气时间≥5天、营养危险指数≤55和APACHE II评分≥15是呼吸机相关性肺炎的重要危险因素。
目的：：探討呼吸機相關性肺炎的危險因素與護理對策。方法：選取2012年1月~2013年12月我院住院的60例呼吸機相關性肺炎病例為觀察組，併隨機選擇同時期行機械通氣未髮生呼吸機相關性肺炎病例60例作為對照組。單因素分析採用t檢驗或χ2檢驗，多因素分析採用logistic迴歸分析。結果：兩組病例經單因素分析髮現，年齡≥65歲、機械通氣時間≥5 d、營養危險指數( NRI)≤55、急性生理和慢性健康( A-PACHE Ⅱ)評分≥15、吸痰方式、纖維支氣管鏡吸痰和使用抗菌藥物與呼吸機相關性肺炎有關(P<0.05)。 Logistic多因素迴歸分析髮現，年齡≥65歲(OR 7.30)、機械通氣時間≥5 d(OR 4.60)、營養危險指數(IVRI)≤55(OR 3.12)和急性生理和慢性健康(APACHEⅡ)評分≥15(OR 6.13)為獨立危險因素。結論：年齡≥65歲、機械通氣時間≥5天、營養危險指數≤55和APACHE II評分≥15是呼吸機相關性肺炎的重要危險因素。
목적：：탐토호흡궤상관성폐염적위험인소여호리대책。방법：선취2012년1월~2013년12월아원주원적60례호흡궤상관성폐염병례위관찰조，병수궤선택동시기행궤계통기미발생호흡궤상관성폐염병례60례작위대조조。단인소분석채용t검험혹χ2검험，다인소분석채용logistic회귀분석。결과：량조병례경단인소분석발현，년령≥65세、궤계통기시간≥5 d、영양위험지수( NRI)≤55、급성생리화만성건강( A-PACHE Ⅱ)평분≥15、흡담방식、섬유지기관경흡담화사용항균약물여호흡궤상관성폐염유관(P<0.05)。 Logistic다인소회귀분석발현，년령≥65세(OR 7.30)、궤계통기시간≥5 d(OR 4.60)、영양위험지수(IVRI)≤55(OR 3.12)화급성생리화만성건강(APACHEⅡ)평분≥15(OR 6.13)위독립위험인소。결론：년령≥65세、궤계통기시간≥5천、영양위험지수≤55화APACHE II평분≥15시호흡궤상관성폐염적중요위험인소。
Objective:To explore the risk factors and nursing measures of ventilator associated pneumonia. Methods:From January 2012 to December 2013 60 cases of ventilator associated pneumonia in hospital as obervation group,and randomly selected at the same time line mechanical ventilation without venti-lator associated pneumonia 60 cases as control group. The data were treated with single factor analysis of t test andχ2 test,multiple factors analysis of logistic regression. Results:Single factor analysis found that age more than or equal to 65,mechanical ventilation time more than or equal to 5 d,nutritional risk index is less than or equal to 55,APACHEⅡscore more than or equal to 15,sucking phlegm, sputum suction fiber bronchoscope and use of antimicrobial agents related to the ventilator associated pneumonia (P<0. 05) of two groups. Logistic multifactor regression analysis found that age more than or equal to 65 (OR=7. 30),the mechanical ventilation time more than or equal to 5 days (OR=4. 60),nutritional risk index less than or equal to 55 (OR=3. 12) and A-PACHE Ⅱscore more than or equal to 15 (OR=6. 13) as the independent risk factors. Conclusion:Important risk factors of ventilator associated pneumoni-a is age more than or equal to 65,mechanical ventilation time more than or equal to 5 days,nutritional risk index less than or equal to 55 and APACHEⅡscore more than or equal to 15.
