重症医学科老年患者呼吸机相关性肺炎前瞻性队列研究  

A prospective cohort study of ventilator associated pneumonia in elderly patients in ICU

作　　者：梁耀携[1] 吴国彪[1] 姚慧文[1] 李素昆[1] 邓洁英[1] 周瑞辉[1] 

机构地区：[1]广东省江门市新会区人民医院,广东江门529100

出　　处：《吉林医学》2016年第10期2434-2436,共3页Jilin Medical Journal

摘　　要：目的：了解重症医学科（ICU）老年患者呼吸机相关性肺炎（VAP）发病情况及危险因素。方法：采用前瞻性队列研究,对2012年1月-2014年12月收治的380例次ICU老年患者进行监测。结果：老年VAP发病率为33.68%,日感染率为32.93‰,3年VAP发病率呈逐年下降趋势;与老年VAP发生有显著意义的危险因素为同时使用抗生素〉2种、使用H2受体拮抗剂〉7 d、机械通气时间〉7 d等;病原体以革兰阴性杆菌为主。结论：合理应用抗生素和H2受体拮抗剂,缩短机械通气时间,降低老年VAP发病率。Objective To explore the incidence and risk factors of VAP in elderly patients in the ICU. Method Prospective cohort study was conducted in 380 elderly patients in ICU from Jan 2012 to Dec 2014. Results The incidence rate of VAP in elderly patients was 33. 68%,and decreased year by year. The risk factors related with VAP were using over two antibiotocs,using H2 receptor antagonists over 7 days and mechanical ventilation for more than 7 days etc. Pathogens were mainly gram negative bacilli. Conclusion Rational use of antibiotics and H2 receptor antagonist,shorten the time of mechanical ventilation,reduce the incidence of VAP in elderly patients.

关 键 词：重症医学科 老年患者 呼吸机相关性肺炎 危险因素 前瞻性队列研究 

分 类 号：R459.7[医药卫生—急诊医学] R563.1[医药卫生—治疗学]