“集束化”治疗措施对呼吸机相关性肺炎的预防作用  

作　　者：李楠[1] 张彧[1] 康健[1] 姚昆[1] 邢静[1] 

机构地区：[1]大连医科大学附属第一医院,116011

出　　处：《浙江临床医学》2012年第6期664-666,共3页Zhejiang Clinical Medical Journal

摘　　要：目的探讨“集束化”治疗措施在预防重症监护病房呼吸机相关性肺炎（VAP）中的作用。方法82例经口气管插管、机械通气的患者随机分为“集束化”治疗组（集束化组）40例及传统方法治疗组（对照组）42例。比较两组患者VAP的发病率、入住ICU时间及病死率。结果集束化组VAP发病率21．4％，平均人住ICU时间16．23d；对照组VAP发病率47．5％，平均人住ICU时间21．45d，两组差异有统计学意义；两组VAP患者较非VAP患者病死率明显增高；集束化组较对照组混合感染发牛率降低，真菌感染发生率降低。结论“集束化”治疗措施与传统治疗措施相比较能够降低VAP的发病率，减少患者人住Icu时间。“集束化”治疗措施对于预防机械通气患者VAP的发生有一定作用。Objective To investigate the role of the ＂cluster care＂ in the prevention of ventilator-associated pneumonia in the intensive care unit. Methods 82 orotracheal intubation, mechanical ventilation patients were randomly divided into ＂cluster＂ treatment group （experimental group, 40 cases） and the traditional treatment group （control group, 42 cases）. The incidence of VAP, ICU stay, VAP mortality were compared in two groups. Results In the test group, VAP incidence rate was 21.4%, the average ICU stay was 16.23 days. In control group, VAP incidence rate was 47.5%, the average ICU stay was 21.45 days. There were significant differences between two groups. Compared with patients not suffering from VAP, patients suffering from VAP had higher mortality rate. Compared with control group the incidence of mixed infection and fungal infection in test group was significantly reduced. Conclusion By using the cluster care, we could lower the incidence of VAP and reduce ICU stay. The cluster care perhaps has some role in the prevention of VAP occurrence in mechanically ventilated patients .

关 键 词：呼吸机相关性肺炎 集束化 重症监护病房 机械通气 

分 类 号：R563.1[医药卫生—呼吸系统]