呼吸机相关性肺炎综合干预策略的临床效果分析

发布时间：2019-03-25 06:45

【摘要】：目的探索呼吸机相关性肺炎(VAP)非抗菌药物综合干预策略在临床应用的效果。方法选择2014年1月-2015年12月入住重症监护病房气管插管有创呼吸机辅助通气的患者开展统计;其中将2014年1月-12月患者按呼吸机的护理常规进行护理作为对照组,共3 858人;将2015年1月-12月的患者,共4 080人,实施依从性监测作为实验组;通过开展呼吸机相关性肺炎预防与控制措施的依从性监测(洗手、口腔卫生、半卧位等依从性),同时监测呼吸机相关性肺炎的发生率。结果用氯已定每天三次口腔护理完成率达100%、半卧位依从性达98.82%、洗手的依从性达到85%以上;2014年收住患者中呼吸机相关性肺炎发生率25.7‰,2015年收治患者中呼吸机相关性肺炎的发生率13.97‰。结论呼吸机相关性肺炎非抗菌药物综合干预策略可提高洗手、口腔卫生、半卧位等依从性,从而显著降低呼吸机相关肺炎的发生率。
[Abstract]:Objective to explore the clinical application of (VAP) non-antibacterial intervention strategy in ventilator-associated pneumonia. Methods from January 2014 to December 2015, the patients who were admitted to intensive care unit (ICU) with invasive ventilator-assisted ventilation were selected for statistics. Among them, 3,858 patients were treated as control group according to the nursing routine of ventilator from January to December 2014, and 4,080 patients from January to December 2015 were used as experimental group. Compliance monitoring of ventilator-associated pneumonia prevention and control measures (hand washing, oral hygiene, semi-supine position, etc.) was carried out, and the incidence of ventilator-associated pneumonia was monitored at the same time. Results the completion rate of oral care three times a day with chlorhexidine was 100%, the compliance of semi-lying position was 98.82%, and the compliance of hand washing was more than 85%. The incidence of ventilator-associated pneumonia was 25.7 鈥，

本文编号：2446724