成人ICU患者显性误吸影响因素分析  

Risk factors for overt aspiration in adult ICU patients

作　　者：王彩虹[1] 刘霞琴 覃双文 陆秀红 李玲 黄德斌[4] Wang Caihong;Liu Xiaqin;Qin Shuangwen;Lu Xiuhong;Li Ling;Huang Debin(Drug Clinical Trial Facility Office,The Second Nanning People's Hospital,Nanning 530005,China)

机构地区：[1]南宁市第二人民医院药物临床试验机构办公室,广西南宁530005 [2]广西医科大学第一附属医院呼吸与危重症医学科二病区 [3]广西医科大学护理学院 [4]广西医科大学第一附属医院重症医学科二病区

出　　处：《护理学杂志》2024年第1期60-63,共4页Journal of Nursing Science

基　　金：南宁市青秀区科技计划项目(2018033)。

摘　　要：目的探讨成人ICU患者发生显性误吸的影响因素,为识别高危人群、降低显性误吸发生率提供参考。方法选取成人ICU患者798例,利用单因素分析和logistic回归分析探讨显性误吸的影响因素。结果成人ICU患者显性误吸发生率为16.9%,机械通气、胃残余量、腹腔内压力、误吸史、呕吐是危险因素(均P<0.05)。结论成人ICU患者有发生显性误吸的风险,需重点关注机械通气、有误吸史及呕吐的患者,减少胃残余量和降低腹腔内压力,以减少显性误吸。Objective To determine the risk factors for overt aspiration in adult ICU patients and to provide reference for identifying the high-risk patient and reducing overt aspiration.Methods A total of 798 adult ICU patients were selected.Univariate analysis and logistic regression analysis were performed to identify the risk factors for overt aspiration.Results The incidence of overt aspiration was 16.9%.Mechanical ventilation,gastric residual volume,intra-abdominal pressure,aspiration history and vomiting were risk factors for overt aspiration in adult ICU patients(all P<0.05).Conclusion Adult ICU patients are at risk for overt aspiration.Attention should be paid to those with mechanical ventilation,aspiration history and vomiting,and interventions should be taken to reduce gastric residual volume and intra-abdominal pressure,thus to decrease overt aspiration.

关 键 词：成人 ICU 误吸 显性误吸 机械通气 胃残余量 腹腔内压力 呕吐 

分 类 号：R472[医药卫生—护理学]