论文部分内容阅读
目的:对重症监护室呼吸机相关性肺炎(ventilator associated pneumonia,VAP)的临床独立危险因素进行系统分析,并探讨针对性护理干预对策。方法:回顾分析2014年5月~2016年5月在我院重症监护室治疗并接受机械通气48h以上的172例患者的临床资料,对发生VAP患者的临床情况进行分析,通过Logistic回归分析法明确独立危险因素。结果:本组172例患者中,发生VAP的25例(14.5%);通过分析,患者年龄、机械通气时间、气管切开、抗生素联用、基础病症、昏迷等和VAP发生存在关系(P<0.05);Logistic回归分析表明,气道切开、机械通气≥3h、昏迷是VAP的独立风险因素(P<0.05)。结论:对于重症监护室呼吸机治疗患者发生VAP因素较多,应加强临床护理以减少VAP的发生风险,确保患者治疗安全。
Objective: To systematically analyze the clinical independent risk factors of ventilator-associated pneumonia (VAP) in intensive care unit and to explore the countermeasures of nursing intervention. Methods: The clinical data of 172 patients treated in our intensive care unit from May 2014 to May 2016 who underwent mechanical ventilation for more than 48h were retrospectively analyzed. The clinical conditions of patients with VAP were analyzed and confirmed by Logistic regression analysis Independent risk factors. Results: There were 25 cases (14.5%) of VAP occurred in 172 patients in this group. There was a relationship between the occurrence of VAP and VAP by analysis of age, duration of mechanical ventilation, tracheotomy, combination of antibiotics, underlying diseases, coma, 0.05). Logistic regression analysis showed that coma was the independent risk factor of VAP after airway incision, mechanical ventilation≥3h (P <0.05). Conclusion: There are more VAP factors in intensive care unit ventilator treatment, and clinical nursing should be strengthened to reduce the risk of VAP and ensure the safety of patients.