重症监护室病人呼吸机相关性肺炎的原因分析及护理2摘要.docVIP

重症监护室病人呼吸机相关性肺炎的危险因素分析与护理措施 【摘要】 [目的] 探讨重症监护室(ICU)中使用呼吸机机械通气病人呼吸机相关性肺炎(VAP) 的发生危险因素及护理措施。 [方法] 随机选取2011年1月至2012年1月我院重症监护室收治的机械通气的患者6O例，根据是否发生呼吸机相关性肺炎而分为VAP组(28例)以及非VAP组(3O例)，回顾性分析两组患者的资料，并进行比较，从而探讨引发该病的危险因素。 [结果] VAP组患者的深静脉穿刺置管、通气时间、意识障碍、留置胃管均高于非VAP组的患者，P0．05，差异有统计学意义；相关因素分析显示，重症监护室的患者发生呼吸机相关性肺炎的危险因素主要有深静脉穿刺置管、通气时间、意识障碍、留置胃管等因素。 [结论]加强 ICU 全方位管理、加强口腔护理、严格无菌技术和消毒隔离、预防误吸以及返流、 掌握正确的吸痰技术等是降低 VAP发生的有效措施。 【关键词】 呼吸机相关性肺炎;护理措施；危险因素 论文类型：.应用研究 Title:Analysis of risk factors for ICU patients with ventilator-associated pneumonia care measures Speciality: Nursing Applicant:王亚丽 Supervisor:Prof. Lvai Li ABSTRACT Objective:Explore ventilator ventilator in mechanically ventilated patients in the intensive care unit (ICU) pneumonia (VAP) the occurrence of risk factors and nursing interventions Methods:Randomly selected from January 2011 to January 2012 admitted to our hospital intensive care unit patients with mechanical ventilation of 6O cases, according to whether the occurrence of ventilator-associated pneumonia and is divided into the VAP group (28 cases), and non-VAP group (3O)retrospective analysis of the data of the two groups of patients, and compare them to explore the risk factors trigger the disease. Results: VAP group of patients with deep venous cannulation, ventilation time, disturbance of consciousness, indwelling stomach tube were higher than patients with non-VAP group (P 0.05), the difference was statistically significant; related factors analysis showed that ICU patientsthe main risk factors for ventilator-associated pneumonia occurred deep vein catheterization, ventilation time, disturbance of consciousness, indwelling stomach tube and other factors. Conclusions:Strengthen the the ICU full range of management, strengthen oral care, strict aseptic technique and disinfection and isolation, and effective measures to