老年患者呼吸机相关性肺炎高危因素meta分析

发布时间：2018-05-30 18:33

  本文选题：岁 + 老年患者　； 参考：《中华医院感染学杂志》2016年23期

【摘要】：目的评价60岁老年患者呼吸机相关性肺炎(VAP)的发病因素,为临床治疗提供参考依据。方法系统检索万方、CNKI、维普、谷歌学术上已公开发表的中文文献;手动检索相关杂志、专业信息及网络资料,数据采用RevMan 5.3进行mata分析。结果共纳入6项研究,总样本量为951例;多因素分析显示,慢性呼吸病史、APACHE-Ⅱ评分、气管插管次数、气管插管时间、住院时间、吸痰次数等是老年患者VAP的独立危险因素(P0.05),卧位(抬高床头30°)为保护性因素(P0.05)。结论年龄、既往吸烟史、慢性呼吸病史、糖尿病史、APACHE-Ⅱ评分、低血清白蛋白、意识障碍、气管插管次数、气管插管时间、住院时间、留置胃管时间、吸痰次数、使用制酸剂为60岁老年患者发生VAP的危险因素,卧位(抬高床头30°)为保护性因素。
[Abstract]:Objective to evaluate the risk factors of ventilator-associated pneumonia (VAP) in 60 years old patients and to provide reference for clinical treatment. Methods Chinese literature published by Google was searched systematically, and related journals, professional information and network data were searched manually. The data were analyzed by mata with RevMan 5.3. Results the total sample size of 951 patients was 951. Multivariate analysis showed that chronic respiratory history was assessed with Apache 鈪，

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