急诊重症监护病房老年患者呼吸机相关肺炎危险因素调查

发布时间：2018-06-30 00:40

  本文选题：重症监护病房 + 老年患者　； 参考：《中国消毒学杂志》2017年10期

【摘要】：目的了解医院急诊重症监护病房老年患者呼吸机相关肺炎(VAP)发生率及其危险因素,为实施针对性的干预措施提供依据。方法回顾性调查某医院急诊重症监护病房接受气管插管机械通气的老年患者VAP发生情况,对相关因素进行分析。结果共调查使用呼吸机的老年患者398例,发生VAP102例,VAP发生率为25.63%。多因素Logistic分析显示,年龄70岁、合并慢性肺疾病病史、昏迷、机械通气时间≥7 d、误吸物、应用糖皮质激素≥7 d及脱机失败后再次行气管插管等因素为急诊重症监护病房老年患者呼吸机相关肺炎发生的危险因素(OR1,P0.05)。结论急诊重症监护病房使用呼吸机的老年患者呼吸机相关肺炎发生率较高,危险因素复杂,应采取针对性防控措施。
[Abstract]:Objective to investigate the incidence and risk factors of ventilator-associated pneumonia (VAP) in elderly patients in emergency intensive care unit (EICU) in hospital. Methods the incidence of VAP in elderly patients undergoing endotracheal intubation mechanical ventilation in an emergency intensive care unit of a hospital was investigated retrospectively and the related factors were analyzed. Results the incidence of VAP was 25.63 in 102 elderly patients with VAP. Multivariate logistic analysis showed that the age was 70 years old, complicated with history of chronic lung disease, coma, mechanical ventilation time 鈮，

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