集束化干预方法及预防呼吸机相关性肺炎的价值分析.pdfVIP

中国当代医药 2014年12月第21卷第35期 窑护理研究 窑 集束化干预方法及预防呼吸机相关性肺炎的 价值分析 朱建明 江西省景德镇市第二人民医院重症医学科袁江西景德镇 333000 [摘要] 目的探讨集束化干预方法及预防呼吸机相关性肺炎的临床价值遥 方法选择80例患者作为研究对象袁 分为两组袁各40例袁观察组采用集束化干预袁对照组采用常规护理袁比较两组的使用呼吸机时间尧低氧血症改善 时间及住院时间袁呼吸机相关性肺炎尧口腔溃疡尧耐药菌感染的发生率及死亡率遥 结果 观察组使用呼吸机时间尧 低氧血症改善时间及住院时间显著短于对照组袁差异有统计学意义渊P约0.05冤袁呼吸机相关性肺炎尧口腔溃疡尧耐药 菌感染发生率及死亡率显著低于对照组袁差异有统计学意义渊P约0.05冤遥 结论 集束化干预能有效降低呼吸机相 关性肺炎发生率袁缩短住院时间袁提高治疗效果遥 [关键词] 集束化干预曰呼吸机相关性肺炎曰方法曰预防 + [中图分类号] R563.19 [文献标识码] B [文章编号] 1674-4721渊2014冤12渊b冤-0105-03 Value analysis of bundle intervention and prevention of ventilator-associ鄄 atedpneumonia ZHUJian-ming Department of Intensive Care Unit,the Second People忆s Hospital of Jingdezhen City in Jiangxi Province,Jingdezhen 333000,China [Abstract] Objective To explore the clinical value of bundle intervention and prevention of ventilator-associated pneumonia.Methods 80caseswere selectedand dividedintotwo groups,40 casesin eachgroup.The intervention group was used the bundle intervention,the control group was used usual care.The using time of breathing machine,the im鄄 provement time of hypoxemia and duration of hospitalization,the incidence of ventilator-associated pneumonia,mouth ulcers,drug-resistant bacteria infection and mortality was compared respectively. Results The using time of breathing machine,the improvement time of hypoxemia and duration of hospitalization of the intervention group was shorter than that ofthe control group,with significantdifference(P约0.05).The incidence of ventilator-associated pneumonia,mouth ul鄄 cers,drug-resistant bacteria infection and mortality was lower than that of the control group,with significant dif