护理干预对预防NICU呼吸机相关性肺炎的影响  

The Impact Nursing Intervention Would Have on the Prevention of Ventilator-associated Pneumonia in NICU

作　　者：李岸英[1] 庞瑜[1] 庞红[1] 

机构地区：[1]广西玉林市妇幼保健院,537000

出　　处：《实用心脑肺血管病杂志》2010年第10期1522-1524,共3页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease

摘　　要：目的探讨护理干预对新生儿重症监护病房(NICU)呼吸机相关性肺炎(VAP)发生的影响。方法回顾性分析我院2007年—2009年NICU应用呼吸机辅助通气过程实施护理干预前后并发VAP的临床资料。结果 2007、2008、2009年新生儿VAP的发生率分别为:58.73%、35.00%和25.00%;平均持续通气时间分别为(129.19±87.40)h、(90.25±46.88)h和(87.91±45.57)h;平均住院时间分别为(23.78±18.28)d、(19.58±12.96)d和(18.82±12.54)d;治愈率分别为77.15%、84.62%和90.00%;病死率分别为8.57%、7.69%和0。结论新生儿机械通气治疗期间,实施合理、完善的护理干预,有助于缩短机械通气时间及住院时间,降低VAP的发生率及病死率,提高治愈率。Objective This thesis tries to probe into what impact nursing intervention will have on the possibility of occurrence in newborns with ventilator-associated pneumonia in NICU.Methods Having a retrospective analysis about the clinical information of my hospital in the process of using ventilator to assist ventilating before and after implementing nursing intervention in NICU from 2007 to 2009.Results The incidence rates from 2007 to 2009 in newborns with ventilator-associated pneumonia are 58.73%,35.00% and 25.00% respectively;the average time of continuing ventilating are（129.19±87.40） hours,（90.25±46.88） hours and（87.91±45.57） hours;the average duration of hospital stays are（23.78±18.28） days,（19.58±12.96） days and（18.82±12.54） days;the cure rates are 77.15%,84.62% and 90.00%;the mortality rates are 8.57%,7.69% and nil.Conclusion In the treatment period of mechanical ventilating in newborns,implementing a appropriate and well-established nursing intervention helps to reduce the time of mechanical ventilating and hospital stays,bring down the incidence rate and death rate of VAP,and increase the its cure rate.

关 键 词：新生儿重症监护病房 新生儿:呼吸机相关性肺炎 护理干预 

分 类 号：R563.1[医药卫生—呼吸系统]