论文部分内容阅读
目的分析重症监护病房(ICU)呼吸机相关性肺炎(VAP)的危险因素,探讨呼吸机相关性肺炎预防措施。方法回顾性分析某医院ICU 141例行机械通气患者VAP感染危险因素,提出预防控制措施。结果 141例患者中VAP发生率为14.89%。导致VAP的危险因素包括置管时间、胃内容物反流和体位,发生率为35.42%、26.23%和28.57%。结论严格执行手卫生和无菌操作规程、防止呼吸机冷凝水反流、加强口腔护理、保持患者的合理体位、防止反流和误吸、缩短呼吸机使用时间、合理使用抗生素等干预措施,可降低VAP发生率。
Objective To analyze the risk factors of ventilator - associated pneumonia (VAP) in intensive care unit (ICU) and explore the preventive measures of ventilator - associated pneumonia. Methods Retrospectively analyzed the risk factors of VAP infection in 141 ICU patients undergoing mechanical ventilation in a hospital and put forward the preventive and control measures. Results The incidence of VAP in 141 patients was 14.89%. Risk factors for VAP included catheterization time, regurgitation of gastric contents and body position, with rates of 35.42%, 26.23%, and 28.57%. Conclusion Strict implementation of hand hygiene and aseptic procedures to prevent respirator condensate reflux, strengthen oral care to maintain the patient’s reasonable position to prevent reflux and aspiration, shorten the use of ventilator time, the rational use of antibiotics and other interventions, Reduce the incidence of VAP.