患者在急诊插管后发生呼吸机相关性肺炎的危险因素分析及对策分析  

Analysis of Risk Factors and Countermeasures for Ventilator-Associated Pneumonia in Patients After Emergency Intubation

作　　者：林樱 LIN Ying(Department of Emergency,Suzhou Hospital of Integrated Traditional Chinese and Western Medicine,Jiangsu Suzhou 215000)

机构地区：[1]苏州市中西医结合医院急诊科,江苏苏州215000

出　　处：《中国医疗器械信息》2021年第17期108-110,共3页China Medical Device Information

摘　　要：目的:分析患者在急诊插管后发生呼吸机相关性肺炎的危险因素,并根据存在的危险因素提出解决对策。方法:将2018年12月~2020年12月本院收治的急诊插管呼吸机患者作为研究对象,共50例,统计出患者呼吸机感染肺炎的主要病原菌类型,分析感染肺炎的危险因素。结果:50例患者使用呼吸机进行救治15例患者感染呼吸机相关性肺炎,感染比例达到30%(15/50);危险因素有年龄60岁以上、机械通气4h以上、气管切开、吸入内容物、抗菌药物使用、放置导管。结论:患者实施救治时,应结合患者年龄,机械通气、气管切开、吸入内容物、抗菌药物使用、放置导管综合研判使用呼吸机,规范救治过程中的操作标准,避免因医护人员操作原因而导致患者出现呼吸机相关性肺炎,减少患者并发症。Objective:Analyze the risk factors of ventilator-associated pneumonia after emergency intubation,and put forward the countermeasures according to the existing risk factors.Methods:A total of 50 emergency intubated ventilator patients admitted to our hospital from December 2018 to December 2020 were selected as the objects of this study.The main pathogenic bacteria and risk factors of ventilator pneumonia in patients were analyzed and statistically analyzed.Results:50 patients were treated with ventilator.15 patients were infected with ventilator associated pneumonia,with an infection rate of 30%(15/50).Risk factors were age 60 or older,mechanical ventilation for more than 4h,tracheotomy,inhalation of contents,use of antimicrobial agents,and catheter placement.Conclusion:The patient’s treatment,should be combined with patient age,mechanical ventilation,tracheotomy,inhaling contents,antimicrobial drug use,and to a catheter comprehensive use breathing machine,standardize the operation in the process of treatment,avoid the medical personnel operating reasons lead to ventilator associated pneumonia patients,reduce patient complications.

关 键 词：呼吸机相关性肺炎 危险因素 对策 

分 类 号：TH778[机械工程—仪器科学与技术]