综合ICU呼吸机相关性肺炎的危险因素分析  

Analysis of risk factors of ventilator-associated pneumonia in comprehensive ICU

作　　者：刘先福[1] 王晓川[1] 曹枫[1] 

机构地区：[1]深圳市龙岗中心医院综合ICU,广东深圳518116

出　　处：《中国热带医学》2008年第12期2171-2173,共3页China Tropical Medicine

摘　　要：目的探讨呼吸机相关性肺炎(VAP)发生的危险因素,为VAP的有效防治提供指导。方法回顾性分析我院综合ICU152例机械通气(MV)>48h患者的临床资料。结果单因素分析显示:高龄(>60岁)、昏迷、慢性肺部疾病、MV时间≥5d、留置胃管、抑酸剂及皮质激素应用等是VAP发生的危险因素(P<0.05或P<0.01);肠内营养和镇静剂应用对VAP的发生无明显影响(P>0.05)。结论VAP的发生与多种危险因素相关;针对VAP的各种危险因素实施综合干预措施,才能有效的预防和减少VAP的发生。Objective To explore the risk factors of ventilator associated pneumonia（VAP） and provide the guidance for preventing VAP. Methods The clinical data of 152 patients with mechanical ventilation （MV） over 48h in our comprehensive ICU were analysed retrospective]）,. Results Single factor analysis showed that the risk factors associated with VAP were age older than 60 years, coma,chronic pulmonary disease, mechanical ventilation over 5 days,indwelling nasegastric tube and use of acid inhabitor or corticosteroid （P〈0.05 or P〈0.01）. Enteral nutrition and use of sedative have no obvious relationship with the occurrence of VAP （I）〉0.05）. Conclusion The occurrence of VAP is related with multiple risk factors. Application of comprehensive prevention strategies in accordance with these risk factors can prevent and reduce the occurrence of VAP effectively.

关 键 词：重症监护病房 呼吸机相关性肺炎 危险因素 

分 类 号：R563.1[医药卫生—呼吸系统]