呼吸机相关性肺炎的集束化护理（Cluster nursing care of ventilator associated pneumonia）.docVIP

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呼吸机相关性肺炎的集束化护理（Cluster nursing care of ventilator associated pneumonia）.doc

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呼吸机相关性肺炎的集束化护理（Cluster nursing care of ventilator associated pneumonia）

呼吸机相关性肺炎的集束化护理（Cluster nursing care of ventilator associated pneumonia） Cluster nursing care of ventilator associated pneumonia This article source: paper / [Abstract] ventilator associated pneumonia is a common complication in patients with mechanical ventilation. At present, the disease is difficult to treat and the fatality rate is high. Prevention may be the best strategy to control the epidemic and morbidity of the disease. According to Xu Xiuhua 1 reports: VAP incidence rate is 7% to 70%, fatality rate is as high as 50%. This paper makes a brief exposition of its current progress. Keywords ventilator associated pneumonia; cluster; nursing; Ventilator associated pneumonia (ventilator associated, pneu-monia, VAP) refers to lung infections in patients with mechanical ventilation after 48h or discontinuation of mechanical ventilation, the removal of artificial airway within 48h, more common in chronic obstructive pulmonary disease (COPD), patients with nervous system diseases. Cluster intervention strategy (bundle of care) is a new term in PICU in recent years. Cluster therapy strategy or cluster intervention strategy. Means a series of evidence-based treatment and care measures used to treat some refractory clinical disease. Analysis of the causes of 1vap 1.1 the airway mucosa loses its barrier and the trachea or trachea incision is used in the patients who use the ventilator. Therefore, the normal physiological barrier of the airway mucosa is lost. The gas directly into the alveolar bronchial, increase the chance of infection, and incision in tracheal intubation or tracheal process, because of invasive operation, mechanical stimulation and sustained compression, resulting in airway mucosal hyperemia, edema, broken 2. 1.2 in the use of ventilator ventilator pipe pollution, the ventilator pipeline and the respiratory tract of the patients is connected to form a closed cycle, the ventilator disinfection is not strict and long-term replacement and other factors, mak