探讨呼吸机相关性肺炎的高危因素  

High risk factors of nutrition ventilator-associated pneumonia

作　　者：何惠英[1] 李青[1] 

机构地区：[1]天津市人民医院ICU,300121

出　　处：《临床肺科杂志》2008年第9期1110-1111,共2页Journal of Clinical Pulmonary Medicine

摘　　要：目的探讨患者发生呼吸机相关性肺炎（VAP）的高危因素。方法回顾性研究2004年3月-2007年7月入住重症监护病房,并使用有创呼吸机治疗的176例患者资料,分析呼吸机相关性肺炎的发生率与高危因素的关系。结果结果显示年龄≥70岁、血清白蛋白〈30g、肠外营养、带机时间〉7天,气管切开和APACHE分值≥18分与其各对照组比较呼吸机相关性肺炎的发生率明显增高,具有统计学意义。结论充分了解呼吸机相关性肺炎的高危因素,以求得有效的防治、减少其发生率,改善患者预后。Objective To explore the high risk factors related to ventilator-associated pneumonia （VAP）.Methods A retrospective study was performed to investigate the possible relationship between VAP frequency and several high risk factors through 176 patients who received mechanical ventilation and were admitted to ICU from Mar 2004 to Jul 2007.Results Compared with their control groups,the patients had higher UAP frequency when they were age≥70,Alb〈30g,in parenteral nutrition,with mechanical ventilation use over 7 days,with incision of trachea or APACHE〉18.The comparisons were significant.Conclusion A fully understanding of the high risk factors of VAP can make the treatment more effective,cut down the VAP frequency and improve the prognosis.

关 键 词：呼吸机相关性肺炎 发病率 高危因素 

分 类 号：R563.1[医药卫生—呼吸系统] R714.461[医药卫生—内科学]