呼吸机相关性肺炎的危险因素分析及预防措施

发布时间：2018-02-26 19:12

本文关键词： 呼吸机相关性肺炎危险因素预防措施　出处：《中华医院感染学杂志》2014年21期 　论文类型：期刊论文

【摘要】：目的探讨呼吸机相关性肺炎(VAP)的危险因素,制定预防措施,为预防VAP发生提供客观依据。方法将2011年10月-2013年10月76例VAP患者作为观察组进行研究,与同期76例未发生VAP的患者进行比较,分析引起VAP的危险因素。结果患者误吸、应用糖皮质激素、应用抗酸剂、预防应用抗菌药物的分布率观察组分别为26.32%、35.53%、39.47%;对照组分别为7.89%、10.53%、13.16%、11.84%,两组因素比较,差异均有统计学意义(P0.05);观察组平均年龄(62.24±18.23)岁、白蛋白水平(30.23±2.14)g/L、呼吸机应用时间(14.34±4.24)d,对照组分别为(52.32±17.34)岁、(34.21±4.23)g/L、(6.89±2.31)d,两组差异均有统计学意义(P0.05)。结论 VAP与患者高龄、白蛋白水平低、误吸、呼吸机使用时间长,应用糖皮质激素、抗酸剂、预防应用抗菌药物等因素关系密切,应了解VAP危险因素,采取有效措施降低感染率。
[Abstract]:Objective to explore the risk factors of ventilator-associated pneumonia (VAP) and to establish preventive measures to provide objective basis for the prevention of VAP. Methods 76 patients with VAP from October 2011 to October 2013 were studied as the observation group. The risk factors of VAP were analyzed and compared with 76 patients without VAP in the same period. Results the patients were inhaled by mistake, glucocorticoid was used, and antacid was used. The distribution rate of antimicrobial agents in the observation group was 26.323.535.53 and that in the control group was 7.8910.53 and 13.1611.844.The average age of the observation group was 62.24 卤18.23 years, and the difference between the two groups was statistically significant (P 0.05), and the mean age of the observation group was 62.24 卤18.23 years old, and the mean age of the observation group was 62.24 卤18.23 years, and the mean age of the observation group was 62.24 卤18.23 years. Albumin level was 30.23 卤2.14 g / L, the time of ventilator use was 14.34 卤4.24 days, and that of control group was 52.32 卤17.34 years old. The difference between the two groups was statistically significant (P 0.05). Conclusion VAP and the elderly patients, low albumin level, aspiration by mistake, long time of ventilator use, glucocorticoid, antiacid agent, The risk factors of VAP should be understood and effective measures should be taken to reduce the infection rate.
【作者单位】：温州医科大学附属定理学院暨温州市中心医院ICU;温州医科大学附属第一医院ICU;温州市中心医院ICU;上海市肺科医院呼吸科;
【基金】：浙江省医药卫生基金资助项目(10439646)
【分类号】：R563.1

【参考文献】