外科重症监护病房呼吸机相关性肺炎的相关因素分析及防治

Ventilator--associated Pneumonia Related Factors Analysis and Prevention in Surgical Intensive Care Unit.

目的：了解外科重症监护病房（SICU）呼吸机相关性肺炎（VAP）的发生率、病死率、易感因素，指导VAP的临床防治。方法：对近2年内我院SICU85例机械通气患者进行回顾性分析。结果：VAP发生率为58．8％，病死率为58％，长时间机械通气及高APACHEⅡ分、原发病未及时诊治等是VAP的易感因素。结论：在SICU病房，通过有效的防治措施，可降低VAP的发生率，提高治愈率。

Purposes In order to direct the clinical prevention and treatment of VAP, we have investigated the incidence,mortality and risk factors of ventilator--associated pneumonia in surgical intensive care unit. Methods Retrospective analysis was used on 85 cases of mechanical ventilation patients in our hospital nearly 2 years. Results The incidence of VAP was 58. 8%. The mortality of VAP was 58%. The factors of long--term mechanical ventilation,high APACHE Ⅱ score and the primary diseases untreated were influenced the prognosis of VAP. Conclusion We may decrease the incidence of VAP and increase the cure rate by some effective measures in SICU.