呼吸机相关性肺炎的护理

目的运用护理手段对呼吸机相关性肺炎(VAP)的发生进行预防和控制,从而有效降低呼吸机相关性肺炎的发生,提高使用呼吸机患者的疗效,降低患者的医疗费用。方法2005年3月～2007年5月对72例实施人工气道并行机械通气的患者分析VAP发生的高危因素,并实施控制VAP的综合护理。结果72例患者中发生VAP10例,发生率为13.9%。结论正确吸痰、加强消毒隔离制度落实、防止误吸、加强口咽部护理等方法可有效预防VAP发生。

Objective Nursing methods were used to prevent and control ventilator-associated pneumonia （VAP） so as to effectively reduce the incurrence rate of ventilator-associated pneumrnia, increase the therapeutic effect and lower their medical costs. Methods During March 2005 to May 2007, 72 VAP cases were managed with artificial airway mechanical ventilation. The high risk factors were analyzed and the VAP comprehensive care was conducted. Result Of the 72 cases, 10 developed with VAP, with a rate of 13.8%. Conclusion Correct suction, intensified disinfection and rigid implementation of isolation system to prevent aspiration, and strengthened oropharyngeal care can be effective in the prevention of VAP.