CAJ | 학술논문

目的：探讨新生儿重症监护病房（N IC U ）呼吸机相关性肺炎发生情况及其感染危险因素，为临床预防控制提供依据。方法采用目标性监测方法对2011年1月－2013年12月NICU 机械通气时间≥2 d的患儿816例进行监测，分析其呼吸机相关性肺炎发生情况及其感染危险因素，采用SPSS17．0进行统计分析。结果共有198例患儿发生呼吸机相关性肺炎，发生率为24．3％；气管插管、胎龄＜37周和机械通气时间＞7 d是SICU呼吸机相关性肺炎的独立危险因素（P＜0．05）。结论 NICU呼吸机相关性肺炎与多个因素有关，临床应重点观察独立危险因素，积极开展感染监测，并采取有效的预防控制措施，降低呼吸机相关性肺炎发生率。
목적：탐토신생인중증감호병방（N IC U ）호흡궤상관성폐염발생정황급기감염위험인소，위림상예방공제제공의거。방법채용목표성감측방법대2011년1월－2013년12월NICU 궤계통기시간≥2 d적환인816례진행감측，분석기호흡궤상관성폐염발생정황급기감염위험인소，채용SPSS17．0진행통계분석。결과공유198례환인발생호흡궤상관성폐염，발생솔위24．3％；기관삽관、태령＜37주화궤계통기시간＞7 d시SICU호흡궤상관성폐염적독립위험인소（P＜0．05）。결론 NICU호흡궤상관성폐염여다개인소유관，림상응중점관찰독립위험인소，적겁개전감염감측，병채취유효적예방공제조시，강저호흡궤상관성폐염발생솔。
OBJECTIVE To investigate the situation and risk factors of ventilator associated pneumonia in neonatal intensive care unit ,so as to provide the basis for clinical prevention and control .METHODS By objectively monito‐ring ,totally 816 patients with more than 24 hours mechanical ventilation treatment in our hospital neonatal inten‐sive care unit from Jan .2011 to Dec .2013 were monitored .The occurrence and risk factors of ventilator associat‐ed pneumonia were analyzed ,and all data were analyzed by SPSS 17 .0 software .RESULTS A total of 198 cases of patients appeared ventilator associated pneumonia ,and the incidence rate was 24 .3% .The trachea cannula ,gesta‐tional age less than 37 weeks and mechanical ventilation time more than 7 days were belonging to independent risk factors for ventilator associated pneumonia in neonatal intensive care unit (P<0 .05) .CONCLUSION Multiple fac‐tors are related to ventilator associated pneumonia in neonatal intensive care unit .The independent risk factors should be intensively observed in clinical treatments .And the infection monitoring and preventive measures should be put into effect to reduce the incidence of ventilator associated pneumonia .