呼吸重症监护病房呼吸机相关性肺炎的危险因素及预后分析  

Analysis of risk factors and prognosis of ventilator-associated pneumonia in respiratory ICU

作　　者：徐琳琳[1] 

机构地区：[1]阜阳市人民医院呼吸科,安徽阜阳236001

出　　处：《临床肺科杂志》2015年第6期1059-1061,共3页Journal of Clinical Pulmonary Medicine

摘　　要：目的探讨呼吸重症监护病房呼吸机相关性肺炎的危险因素,并分析其预后。方法收集2013年7月-2014年7月于我院呼吸重症监护病房接受治疗的患者72例,按照呼吸机相关性肺炎的诊断标准将其诊断为呼吸机相关性肺炎患者(A组)和非呼吸机相关性肺炎患者(B组)。比较分析两组患者的原发性相关疾病、目前的一般情况、意识状况及呼吸通气方式等相关性因素。结果 A组患者死亡率为21.88%,高于B组患者死亡率5.00%,两组患者比较具有显著性差异(χ2=7.42,P<0.05)。呼吸机相关性肺炎与患者年龄、意识状况、有无口咽微生物、有无创通气方式、抗生素混合使用情况、APACHE评分存在相关性(P<0.05)。结论使用呼吸机对患者进行治疗时,密切监测相关危险因素,及时给予处理,可有效降低呼吸机相关性肺炎的发病率。Objective To investigate the risk factors and prognosis of ventilator-associated pneumonia in respiratory ICU. Methods 72 patients in respiratory intensive care unit for treatment were selected from July 2013 to July 2014, and then were divided into ventilator-associated pneumonia patients （the A group） and non-ventilator-as-sociated pneumonia patients （ the group B） according to the diagnostic criteria for ventilator-associated pneumonia. Their primary-related diseases, current general situation, state of consciousness and respiratory ventilation mode and other related factors of the two groups were comparatively analyzed. Results The mortality of the A group was 21. 88%, which was higher than 5. 00% in the B group （χ^2 =7. 42, P〈0. 05）. Ventilator-associated pneumonia had correlation with the patient′s age, state of consciousness, oropharyngeal microorganisms, invasive ventilation mode hybrid antibiotic usage, and APACHE score （P〈0. 05）. Conclusion The incidence of ventilator-associated pneumonia can be effectively reduced by close monitoring of related risk factors and timely treatment.

关 键 词：呼吸重症监护 呼吸机相关性肺炎 危险因素 预后 

分 类 号：R563.1[医药卫生—呼吸系统]