ICU呼吸机相关性肺炎的原因分析及护理  

Analysis of ICU ventilator-associated pneumonia and nursing

作　　者：杨贻清[1] 潘成梅[2] 

机构地区：[1]安徽省蚌埠市第一人民医院防保科,233000 [2]安徽省蚌埠市第一人民医院重症监护病房,233000

出　　处：《中华全科医学》2014年第1期146-147,150,共3页Chinese Journal of General Practice

摘　　要：目的通过对呼吸机相关性肺炎(VAP)的发生原因调查分析,探讨护理方法,降低VAP的发生率。方法对2009年1月—2011年12月ICU病房机械通气48 h以上的90例患者,进行年龄、基础疾病、机械通气的时间及人工气道建立的途径与VAP发生关系调查分析,并采取相应的护理措施。结果 90例机械通气患者中,21例患者发生了VAP,发生率为23.33%;年龄、基础疾病及机械通气时间与VAP发生相关(P<0.01),3种人工气道建立的途径相比较与VAP发生差异无统计学意义(P>0.05)。结论针对VAP发生原因,加强护理,处理好发生VAP的相关因素,尽可能缩短机械通气时间,可以降低VAP的发生率。Objective To exploring methods of care for reducing the incidence of VAP by investigating the cause of ventila- tor-associated pneumonia（VAP）. Methods From January 2009 to December 2011,90 eases of VAP paitents were ventila- ted mechanically in the ICU ward, and the nursing strategy was taken. Relation between age, underlying diseases, mechanical ventilation time and pathway creating the artificial airway and the occurred VAP were analyzed retrospectively. Results 21 ease occurred VAP,the ratio was 23.33% ,the age ,underlying diseases and mechanical ventilation time were relevant to the occurrence of VAP（ P 〈 0.01 ）, the occurred VAP weren＇ t significant differences among 3 pathway creating the artificial air- way（ P 〉 0.05 ）. Conclusion We should reduce the incidence of VAP by strengthening nurse,dealing with the related fac- tors of occurrence VAP, shortening the duration of mechanical ventilation time as far as possible.

关 键 词：机械通气 呼吸机相关性肺炎(VAP) 护理 

分 类 号：R473.56[医药卫生—护理学] R563.1[医药卫生—临床医学]