老年急性脑梗死患者呼吸机相关性肺炎及影响因素分析

发布时间：2018-02-02 23:50

本文关键词： 呼吸机相关性肺炎老年急性脑梗死患者影响因素　出处：《中国现代医学杂志》2017年13期 　论文类型：期刊论文

【摘要】：目的分析老年急性脑梗死患者呼吸机相关性肺炎感染特点及影响因素,从而寻找针对性预防控制措施。方法回顾性调查西南医科大学附属医院重症监护病房2013~2014年收治的机械通气48 h的375例老年急性脑梗死患者,比较肺炎感染情况并分析影响因素。结果 119例患者发生呼吸机相关性肺炎,感染率为31.73%。共分离病原菌175株,其中革兰阴性杆菌115株,占65.71%;革兰阳性球菌49株,占28.00%;真菌11株,占6.29%。呼吸机应用时间长、平卧体位、应用镇静剂、胃内容物反流和误吸、APACHEⅡ评分高是引起感染的危险因素。结论重症监护病房老年急性脑梗死患者呼吸机相关性肺炎感染较常见,多种因素促进感染的发生。
[Abstract]:Objective to analyze the characteristics and influencing factors of ventilator-associated pneumonia in elderly patients with acute cerebral infarction. Methods retrospective investigation of mechanical ventilation in intensive care unit of the affiliated hospital of southwest medical university from 2013 to 2014. H, 375 elderly patients with acute cerebral infarction. Results 119 patients developed ventilator-associated pneumonia, the infection rate was 31.730.175 strains of pathogenic bacteria were isolated. There were 115 Gram-negative bacilli (65.71%); Gram-positive cocci 49 strains (28.00%); There were 11 strains of fungi (6.29%). Ventilator was used for a long time, supine position, sedative, stomach contents reflux and aspiration by mistake. Conclusion ventilator-associated pneumonia infection is common in elderly patients with acute cerebral infarction in intensive care unit.
【作者单位】：西南医科大学附属医院急诊科;
【分类号】：R563.1;R743.3
【正文快照】： 呼吸机相关性肺炎(ventilator-associated pneu-monia,VAP)在ICU重症监护患者中是常见的并发症[1]。随着医疗技术的进步,呼吸机的应用也越来越高,成为抢救患者生命不可或缺的设备。但是应用呼吸机的患者由于各种因素的影响导致肺炎发生的比例较高,进而危及患者健康甚至生命。

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