呼吸机相关性肺炎的高危因素及护理对策  

Risk factors of ventilator-associated pneumonia in intensive care unit of neurosurgery and related nursing countermeasures

作　　者：潘海萍[1] 潘敏敏[1] 周兰[1] 谈雅琼[1] 

机构地区：[1]江苏省无锡市第二人民医院神经外科,江苏无锡214002

出　　处：《中西医结合护理（中英文）》2017年第6期78-80,共3页Journal of Clinical Nursing in Practice

摘　　要：目的分析神经外科监护室呼吸机相关性肺炎(VAP)的高危因素并提出护理对策。方法选取行机械通气的35例患者,调查收集患者临床资料,根据是否发生VAP分为VPN组(n=6)和Non-VAP组(n=29)。结果 6例(17.14%)患者发生呼吸机相关性肺炎。单因素分析显示,VPN与Non-VAP组患者心肺复苏和机械通气时间(>3 d)变量的构成差异有统计学意义(P<0.05或P<0.01)。结论神经外科监护室VAP发生受到多种因素的影响,应实施综合护理措施,降低VAP发生风险。Objective To analyze the risk factors of ventilator-associated pneumonia（VAP）in intensive care unit of neurosurgery and to provide related nursing countermeasures. Methods A total of 35 patients undergoing mechanical ventilation were included and divided into the VAP group（n=6） and Non-VAP group（n=29）. The clinical data of patients were collected and the potential risk factors of VAP were analyzed by univariate analysis. Results The mobility of VAP was 17.14%（6/35）. Univariate analysis showed that there was a significant difference in proportion of patients receiving cardio-pulmonary resuscitation and with duration of mechanical ventilation（ 3 d） between two groups. Conclusion The occurrence of VAP is influenced by multiple factors. Application of comprehensive prevention strategies against those risk factors of VAP can reduce the risk of VAP.

关 键 词：呼吸机相关性肺炎 高危因素 护理对策 呼吸机 人工气道 

分 类 号：R563.1[医药卫生—呼吸系统]