ICU呼吸机相关性肺炎危险因素及预防对策

发布时间：2018-02-16 08:18

本文关键词： ICU 呼吸机相关性肺炎影响因素预防对策　出处：《中华医院感染学杂志》2014年01期 　论文类型：期刊论文

【摘要】：目的观察引起ICU呼吸机相关性肺炎相关因素,探讨呼吸机相关性肺炎预防对策。方法回顾性分析2005年10月-2012年9月180例ICU患者应用呼吸机治疗患者的临床资料,统计呼吸机相关性肺炎发生率,观察呼吸机相关性肺炎与相关因素的相关性。结果 180例患者发生呼吸机相关性肺炎40例,发生率22.22%,logistic回归分析引起呼吸机相关性肺炎的危险因素包括:胃内容物反流、血清白蛋白水平低、呼吸机应用时间长、抗酸剂、广谱抗菌药物的应用,发生率分别为36.96%、31.46%、38.16%、25.74%、23.74%,OR值分别为5.45、4.13、3.39、3.23、2.98。结论 ICU呼吸机相关性肺炎发生率较高,影响因素复杂,应给予半卧位、改善全身状态加强营养支持、严格执行抗菌药物的使用原则、避免预防性常规应用强制酸剂、缩短呼吸机应用时间,减少呼吸机相关性肺炎的发生。
[Abstract]:Objective to observe the related factors of ICU ventilator-associated pneumonia and to explore the preventive measures of ventilator-associated pneumonia. Methods the clinical data of 180 patients with ICU treated with ventilator from October 2005 to September 2012 were analyzed retrospectively. The incidence of ventilator-associated pneumonia was counted and the correlation between ventilator-associated pneumonia and related factors was observed. Results there were 40 cases of ventilator-associated pneumonia in 180 patients. Logistic regression analysis showed that the risk factors of ventilator-associated pneumonia included: reflux of gastric contents, low serum albumin level, long duration of ventilator use, antacid and use of broad-spectrum antimicrobial agents. The incidence of ICU ventilator-associated pneumonia was higher and the influencing factors were complex, so we should give semi-lying position, improve the whole body, strengthen nutritional support, strictly implement the principle of using antibiotics, and implement the principle of antimicrobial agents strictly, so the incidence rate of ICU ventilator-associated pneumonia is higher and the influencing factors are complex, so we should strengthen nutritional support for the improvement of the whole body, and strictly implement the principles of antimicrobial drug use, conclusion the incidence of ICU ventilator-associated pneumonia is relatively high, and the influencing factors are complex. Avoid preventive routine use of strong acid, shorten the time of ventilator use, reduce the incidence of ventilator-associated pneumonia.
【作者单位】：杭州师范大学附属医院重症医学科;浙江省人民医院ICU;
【基金】：浙江省自然科学基金青年基金项目(LQ12H01002)
【分类号】：R563.1

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