外科重症监护病房老年患者呼吸机相关性肺炎相关因素分析及防治  

Ventilator-associated pneumonia related factors analysis and prevention on elderly patients in surgical intensive care unit

作　　者：瞿昌晶[1] 郭旋[1] 俞中燕 朱锋[1] 张含之[1] 

机构地区：[1]上海市杨浦区中心医院SICU,上海200090

出　　处：《实用临床医药杂志》2013年第A01期4-6,共3页Journal of Clinical Medicine in Practice

摘　　要：目的了解外科重症监护病房（SICU）老年患者呼吸机相关性肺炎（VAP）的发生率、病死率、易感因素，指导VAP的临床防治。方法对近3年内本院SICU65例机械通气的老年患者进行回顾性分析。结果VAP发生率为66．2％，病死率为67．4％，长时间机械通气及高APACHEⅡ分、低GCS分和不恰当初始抗菌治疗等是VAP的易感因素。结论在SICU病房，通过有效的防治措施，可降低老年患者VAP的发生率，提高治愈率。Objective To investigate the incidence, mortality and risk factors of ventilator-associated pneumonia in surgical intensive care unit among elderly patient in order to guide the clinical prevention and treatment of ventilator-associated pneumonia （VAP）. Methods A total of 65 elderly patients with mechanical ventilation in our hospital for nearly 3 years were retrospectively analyzed. Results The incidence and mortality of VAP were 66.2% and 67.4% respectively. And long-term mechanical ventilation, high APACHE II score, low Glasgow score and inappropriate initial antimicrobial therapy were observed to be factors influencing the prognosis of VAP. Conclusion The incidence of VAP can be decreased and the cure rate can be increased by some effective measures in SICU.

关 键 词：外科重症监护病房 呼吸机相关性肺炎 老年患者 防治 

分 类 号：R563.1[医药卫生—呼吸系统]