成立呼吸机管理中心的探讨  

Establishment of a Ventilator Management Center:A Discussion

作　　者：李夏明[1] 束冬兰[1] 伍冀湘[1] 

机构地区：[1]首都医科大学附属北京安贞医院感染管理办公室,北京100029

出　　处：《中华医院感染学杂志》2008年第5期685-687,共3页Chinese Journal of Nosocomiology

摘　　要：目的探讨成立呼吸机管理中心的可行性。方法对2005年住院患者使用呼吸机情况进行调查,分析发生呼吸机相关性肺炎(VAP)的危险因素。结果在全年医院感染病例中,VAP占下呼吸道感染病例的54.3%。结论呼吸机管理是一项重要而复杂的工作,成立呼吸机管理中心是防止医院感染的有利措施,既保障了呼吸机应急使用,又降低了医院感染发生率;既提高呼吸机使用完好率,又大大降低了能源与人力资源的消耗,创造良好的经济和社会效益。OBJECTIVE To discuss the feasibility of the establishment of the ventilator management center. METHODS Through the investigation on the circumstances of the use of ventilator in 2005 to find out the risk factors of ventilator associated pneumonia （VAP）. RESULTS In whole hospital-acquired infections cases, VAP occupied 54.3% in lower respiratory tract infections. CONCLUSIONS Ventilator management is an important and complex work and the establishment of a ventilator management center is a favorable measure to prevent nosocomial infections. It is not only grant the use of ventilator in emergency, but also reduces the incidence of nosocomial infections. It can raise the intact rate of ventilator use, reduce energy and human resources consumption greatly and create a good economic and social benefits.

关 键 词：呼吸机 管理 医院感染 呼吸机相关性肺炎 

分 类 号：R197.31[医药卫生—卫生事业管理]