ICU患者呼吸机相关性肺炎的危险因素及非药物预防措施  

Risk factors and non-drug precautions of ventilator associated pneumonia in ICU

作　　者：袁法伟[1] 冯辉斌[1] 尹欢[2] 

机构地区：[1]湖北黄石市中心医院(湖北理工学院附属医院)重症医学科,湖北黄石435000 [2]湖北黄石市妇幼保健院新生儿科,湖北黄石435000

出　　处：《河南中医》2014年第B11期195-195,共1页Henan Traditional Chinese Medicine

摘　　要：目的探讨ICU 患者呼吸机相关性肺炎（ventilator associated pneumonia ,VAP）的发病危险因素和非药物预防策略.方法：收集我院2011 年7 月～2013 年8 月ICU 收治的入科时无肺部感染且进行机械通气〉48h 患者的临床资料进行回顾性调查分析.结果：117 例患者发生VAP 56 例,发生率47.86%.年龄≥60 岁、机械通气时间≥5d、APACHEⅡ评分、意识障碍、曾使用制酸剂、白蛋白〈30g 和侵入性操作为VAP 发生的危险因素.结论：重症患者VAP 的发生与上述危险因素有关,应采取严格呼吸道管理、规范洗手、加强保护性护理、改进营养支持方法、严密监控等针对性的非药物干预措施,以减少VAP 的发生.ObjectiveTo explore the risk factors and prevention countermeasures by non-drugs for ventilator associated pneumonia in ICU. Methods：T0 retrospectivelyanalyze the clinical data of the patients with VAP for more than 48 hours who enrolled in ICU without pneumonia . Result：Analysis showed that old age ,mechanical ventilationdays ,APACHEⅡscores ,disturbance of consciousness ,acid inhibitor ,the level of albumen ,indwelling nasogastric tube were the risk factors for VAP .Conclusion：To reduce theVAP ,non-drug precaution such as strengthening the protective nursing of respiratory tract ,standardize hand-washing and improving the nutrition support approaches should becarried out.

关 键 词：呼吸机相关性肺炎 危险因素 预防措施 

分 类 号：R563.1[医药卫生—呼吸系统]