老年重症患者呼吸机相关性肺炎的预防与护理  

Preventation and nursing of ventilator acquired pneumonia for aged critical patients

作　　者：张虹[1] 黄利虹[1] 来纯云[1] 

机构地区：[1]解放军总医院南楼呼吸科,北京100853

出　　处：《中华现代护理杂志》2011年第11期1278-1279,共2页Chinese Journal of Modern Nursing

摘　　要：目的 探讨使用呼吸机的老年重症患者减少发生呼吸机相关性肺炎（VAP）的护理措施.方法 对148例65岁以上机械通气患者给予细致的护理,观察VAP发生率及病死率.结果 148例患者中43例发生VAP,发生率29.1%,24例死亡,死因是原发病危重或（和）合并多器官功能衰竭.结论 在呼吸机治疗期间,严格操作、细致的基础护理,在一定程度上可预防和减少VAP的发生.Objective Discuss the nursing interventions for reducing the VAP incidence for aged critical patients. Methods The clinical data of 148 patients of more than 65 years with mechanical ventilation （MV） were analyzed retrospectively. The incidence of VAP and the fatality rate were observed. Results 43 cases were confirmed with VAP in 148 patients, the incidence rate was 29.1%. 24 patients died from severe primary diseases or/and multiple organ failure. Conclusions For patients with mechanical ventilation, strict procedure, micromesh basic nursing were vital for prevention and reduction of the incidence of VAP.

关 键 词：老年重症患者 机械通气 呼吸机相关性肺炎 护理 

分 类 号：R473.5[医药卫生—护理学]