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目的 :对诱发ICU呼吸机相关性肺炎的危险因素进行分析,探讨有效的ICU呼吸机相关性肺炎预防措施。方法 :在2015年1月至2015年12月间ICU收治的行机械通气的患者中筛选出60例,对其病历资料进行回顾性分析,总结诱发呼吸机相关性肺炎的危险因素,并制定具有针对性的干预措施预防病症的发生。结果 :体位过低、存在意识障碍、胃容物反流、应用抗生素、进行过侵入性操作及留置胃管均是诱发呼吸机相关性肺炎的危险因素。结论 :诱发呼吸机相关性肺炎的因素多样化,根据分析结果实行有效的预防措施,对减少呼吸机相关性肺炎的发生具有重要意义。
Objective: To analyze the risk factors of ventilator associated pneumonia induced by ICU and to explore the effective preventive measures of ventilator associated pneumonia in ICU. Methods: From January 2015 to December 2015, 60 ICU-selected patients undergoing mechanical ventilation were screened out, their medical records were retrospectively analyzed. The risk factors of ventilator-associated pneumonia were summed up, Targeted interventions prevent the onset of the disorder. RESULTS: Low body position, disturbance of consciousness, reflux of gastric contents, antibiotic use, invasive procedure and indwelling gastric tube were the risk factors of ventilator-associated pneumonia. CONCLUSION: The factors that induce ventilator-associated pneumonia are diversified. Effective prevention measures based on the analysis result are of great significance to reduce the occurrence of ventilator-associated pneumonia.