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目的研究感染控制干预组合措施对住院病人呼吸机相关肺炎(VAP)的控制效果。方法通过目标性监测方法,对某医院重症监护病房采用感染控制干预组合措施防控住院患者呼吸机相关肺炎的效果进行观察。结果经采取组合干预措施,对照组接受机械通气患者的VAP发病率为42.92‰,用患者病情严重程度(ASIS)调整后发病率为12.88‰;在实施感染控制干预组合措施的观察组接受机械通气的患者VAP发病率为17.09‰,ASIS调整后发病率为3.80‰,两组间比较差异有统计学意义(P<0.05)。同时观察组病人住院时间明显缩短,呼吸机使用天数也有所减少。结论采取培训、加强手卫生和氯己定消毒液口腔护理等系列干预措施,可有效降低机械通气病人VAP的发病率。
Objective To study the control effect of infection control intervention on ventilator associated pneumonia (VAP) in hospitalized patients. Methods By means of targeted monitoring, the effect of prevention and control of ventilator-associated pneumonia in hospitalized patients was monitored by the combination of infection control intervention in a hospital intensive care unit. Results The incidence of VAP in the control group receiving mechanical ventilation was 42.92 ‰ and the incidence of VAS was adjusted to be 12.88 ‰ after adjusting for the severity of illness (ASIS). In the observation group receiving the combination of infection control interventions, mechanical ventilation Of patients with VAP incidence was 17.09 ‰, ASIS adjusted incidence was 3.80 ‰, the difference between the two groups was statistically significant (P <0.05). At the same time, the observation group patients hospitalization time was significantly shortened, ventilator days also decreased. Conclusions A series of interventions such as hand hygiene and chlorhexidine disinfectant oral care are taken to reduce the incidence of VAP in patients with mechanical ventilation.