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分析探讨ICU机械通气患者呼吸机相关性肺炎危险因素与干预措施。方法:选取我院2013年1月至2016年6月收治的ICU机械通气患者200例作为研究对象,并随机将他们分为常规组与干预组,每组患者各100例。常规组患者给予常规护理;干预组患者在常规护理的基础上给予针对性护理干预。分析患者VAP危险因素,同时对比两组患者的住院时间、机械通气时间及VAP发生率等方面的异同。结果:干预组患者采取针对性护理干预后,患者住院时间、机械通气时间及VAP发生率明显优于常规组,比较差异有统计学意义(P<0.05)。并通过logistic回归分析得出年龄较大、机械通气时间过长、血清白蛋白高于30g/L、再插管等因素是VAP的独立危险因素。结论:ICU机械通气患者发生VAP的因素较多,但经过分析并给予针对性的护理干预后,不仅能大大降低患者VAP发生率,还能进一步缩短患者住院时间及机械通气时间,减轻其经济负担,促进其康复。
To analyze the risk factors and interventions of ventilator-associated pneumonia in ICU patients with mechanical ventilation. Methods: 200 ICU patients with mechanical ventilation admitted to our hospital from January 2013 to June 2016 were selected as the study subjects, and randomly divided into routine group and intervention group, 100 patients in each group. Patients in the conventional group were given routine care. Patients in the intervention group received targeted nursing intervention on the basis of routine nursing. The risk factors of VAP in patients were analyzed, and the similarities and differences in hospitalization time, mechanical ventilation time and incidence of VAP were compared between the two groups. Results: In the intervention group, the hospitalization time, the time of mechanical ventilation and the incidence of VAP were significantly better than those of the conventional group after the targeted nursing intervention. The difference was statistically significant (P <0.05). And logistic regression analysis showed that older, longer duration of mechanical ventilation, serum albumin higher than 30g / L, re-intubation and other factors are independent risk factors for VAP. CONCLUSIONS: There are many factors that cause VAP in patients with mechanical ventilation of ICU. However, after the analysis and the targeted nursing intervention, not only the incidence of VAP in patients with ICU can be greatly reduced, but also the hospitalization time and the duration of mechanical ventilation can be further shortened and the economic burden reduced , To promote their recovery.