中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
3期
144-145
,共2页
护理分析%呼吸机相关性肺炎%危险因素
護理分析%呼吸機相關性肺炎%危險因素
호리분석%호흡궤상관성폐염%위험인소
Nursing analysis%Ventilator associated pneumonia%Risk factors
目的：探讨新生儿呼吸机相关性肺炎危险因素以及相对应的护理措施。方法：2011年6月-2013年6月收治机械通气≥48 h的新生儿146例，对其临床资料给予回顾性分析。结果：呼吸机相关性肺炎(VAP)组和对照组死亡率差异不具有统计学意义(P＞0.05)。36例新生儿发生 VAP，占总体的24.65%。病原菌主要为革兰阴性杆菌。根据Logistic回归分析结果：机械通气时间≥5 d、出生体重＜2.5 kg以及气管内吸引次数≥6次/d是引发新生儿VAP的危险因素。结论：新生儿呼吸机相关性肺炎的出现是由内部因素和外部因素共同作用的结果，必须要采取综合护理干预措施，使发生VAP的几率进一步降低。
目的：探討新生兒呼吸機相關性肺炎危險因素以及相對應的護理措施。方法：2011年6月-2013年6月收治機械通氣≥48 h的新生兒146例，對其臨床資料給予迴顧性分析。結果：呼吸機相關性肺炎(VAP)組和對照組死亡率差異不具有統計學意義(P＞0.05)。36例新生兒髮生 VAP，佔總體的24.65%。病原菌主要為革蘭陰性桿菌。根據Logistic迴歸分析結果：機械通氣時間≥5 d、齣生體重＜2.5 kg以及氣管內吸引次數≥6次/d是引髮新生兒VAP的危險因素。結論：新生兒呼吸機相關性肺炎的齣現是由內部因素和外部因素共同作用的結果，必鬚要採取綜閤護理榦預措施，使髮生VAP的幾率進一步降低。
목적：탐토신생인호흡궤상관성폐염위험인소이급상대응적호리조시。방법：2011년6월-2013년6월수치궤계통기≥48 h적신생인146례，대기림상자료급여회고성분석。결과：호흡궤상관성폐염(VAP)조화대조조사망솔차이불구유통계학의의(P＞0.05)。36례신생인발생 VAP，점총체적24.65%。병원균주요위혁란음성간균。근거Logistic회귀분석결과：궤계통기시간≥5 d、출생체중＜2.5 kg이급기관내흡인차수≥6차/d시인발신생인VAP적위험인소。결론：신생인호흡궤상관성폐염적출현시유내부인소화외부인소공동작용적결과，필수요채취종합호리간예조시，사발생VAP적궤솔진일보강저。
Objective:To explore the risk factors and corresponding nursing measures in neonatal ventilator associated pneumonia. Methods:146 cases of newborn treated with mechanical ventilation≥48 h from June 2011 to June 2013 were chosen and their clinical data were analyzed retrospectively.Results:There was no statistically significant differences of the mortality rate between the ventilator associated pneumonia (VAP) group and the control group(P>0.05).36 cases of neonatal affected VAP,accounting for 24.65%.The pathogenic bacteria were mainly gram-negative bacilli.According to the results of Logistic regression analysis:the time of mechanical ventilation being 5 days or more,the birth weight below 2.5 kg and the endotracheal attract number being 6 or more times a day were risk factors for neonatal VAP.Conclusion:The occurrence of neonatal ventilator associated pneumonia is the result of joint action by internal factors and external factors and the comprehensive nursing intervention measures should be taken in order to reduce the occurance of VAP.
