心脏瓣膜置换术后患者呼吸机相关性肺炎因素分析及护理干预  

作　　者：方小君[1] 朱蔚仪[1] 李锐雄[1] 李琼妹[1] 林彬群[1] 吴庆珠[1] 蔡慕妍[1] 

机构地区：[1]广东汕头市中心医院胸心外科(中山大学附属汕头医院),515031

出　　处：《中国社区医师（医学专业）》2011年第26期261-262,共2页

基　　金：汕头市重点科技计划项目及医院经费资助项目（汕府科[2008]85号）

摘　　要：科研课题汕头市重点科技计划项目及医院经费资助项目(汕府科[2008]85号)摘要目的:探讨心脏瓣膜置换术后患者呼吸机相关性肺炎(VAP)的危险因素及护理措施,以降低术后患者VAP的发生。方法:将行心脏机械瓣膜置换术240例患者随机分为实验组和对照组。实验组120例予改良护理,对照组120例予常规护理。观察两组术后VAP发生率。结果:VAP与辅助呼吸时间、肺功能、吸烟史、年龄等呈正相关。试验组术后VAP发生率14.2%,对照组为23.3%;试验组较对照组VAP发生率明显下降。结论:在常规护理基础上,应用呼吸机集束化干预策略、呼吸功能训练、口腔护理及声门下吸痰,可减少VAP的发生。Objective：To study factors Ventilator- associated pneumonia patients after replacement of mechanical heart valve and nursing measures to prevent it. Methods ： mechanical heart valve replacement surgery were divided into experimental and control groups. Experimental group of 120 improve the care, control group 120 cases for routine care. Observe the incidence of VAP. Resuits： VAP and ventilation time, pulmonary function, age was positively correlated. Experimental group rate was 14. 2% in control group was 23.3%. Conclusions： Respirator cluster - based intervention strategies, training respiratory function oral care subglottic suctioning, can reduce incidence of VAP.

关 键 词：呼吸机相关性肺炎 心脏瓣膜置换 护理 

分 类 号：R563.1[医药卫生—呼吸系统]