呼吸机集束干预策略在预防ICU呼吸机相关性肺炎中的应用  

Application of the bundle of intervention strategies in the prevention of VAP in ICU patients

作　　者：谢蕴秋[1] 贾杨阳[1] 李毓[1] 陶方萍[1] 

机构地区：[1]蚌埠医学院第一附属医院,安徽蚌埠233004

出　　处：《齐鲁护理杂志》2015年第13期17-19,共3页Journal of Qilu Nursing

基　　金：安徽省高校省级自然科学研究项目(编号:KJ2009B224Z)

摘　　要：目的:探讨呼吸机集束干预策略(VCB)在预防ICU呼吸机相关性肺炎中的应用效果。方法:将120例本院ICU患者按照进入科室顺序编号,奇数为实验组(n=60),按照呼吸机集束干预策略进行护理;偶数为对照组(n=60),实施常规护理;比较两组MV时间、住院时间、VAP发生率,并记录相关护理措施执行情况。结果:实验组在患者MV时间、住院时间、VAP发生率低于对照组(P<0.05)。当患者胃液p H值>4及胃残留量>200 ml时,其发生VAP的可能性增加。结论:(VCB)比常规护理更利于预防呼吸机相关性肺炎的发生,值得在临床进一步应用。Objective：To investigate the effect of application of the bundle of intervention strategies in the prevention of ventilator asso-ciated pneumonia（VAP）in ICU patients. Methods：120 patients in ICU of the hospital were divided into the experimental group（n=60） and the control group（n=60）according to the sequence number. The patients in the experimental group were provided the bundle of inter-vention strategies and the patients in the control groups were given routine nursing care. The duration of mechanical ventilation,hospitaliza-tion time and the incidence of VAP were compared between the two groups. Results：The duration of MV,hospitalization time and the inci-dence of VAP were shorter and less in the experimental group than the control group（P〈0. 05）. Conclusion：The bundle of intervention strategies is more conducive to the prevention of VAP than routine nursing care.

关 键 词：机械通气 呼吸机集束干预策略 呼吸机相关性肺炎 

分 类 号：R473.5[医药卫生—护理学]