论文部分内容阅读
目的探讨新生儿呼吸机相关性肺炎(VAP)的高危因素、病原学特点和防治方法。方法对我院NICU2005年12月—2008年3月机械通气治疗的146例新生儿的临床资料进行回顾性分析。结果VAP的发生率为52.05%,VAP与胎龄、出生体重、机械通气时间密切相关,病原菌以革兰阴性杆菌为主,并发VAP后将明显影响治愈率。结论VAP的发生与胎龄、出生体重、机械通气时间密切相关,病原菌主要是革兰阴性杆菌,降低VAP的发生预防为主很重要。
Objective To investigate the risk factors, etiological characteristics and prevention and cure of neonatal ventilator-associated pneumonia (VAP). Methods The clinical data of 146 neonates undergoing mechanical ventilation from December 2005 to March 2008 in NICU of our hospital were analyzed retrospectively. Results The incidence of VAP was 52.05%. VAP was closely related to gestational age, birth weight and duration of mechanical ventilation. Gram-negative bacilli were the main pathogenic bacteria. VAP was associated with significant effect on cure rate. Conclusions The occurrence of VAP is closely related to gestational age, birth weight and duration of mechanical ventilation. The pathogens are mainly Gram-negative bacilli. It is very important to reduce the occurrence of VAP.