探讨加强预防措施以降低呼吸机相关性肺炎的发生率

The incidence of ventilator-associated pneumonia reduced by intensive prevention

目的分析如何加强预防呼吸机相关性肺炎(VAP)的发生率。方法回顾性总结2001—2008年138例我院急诊科及ICU应用机械通气治疗的患者发生VAP资料,并将2001—2004年68例患者列为对照组,将2005—2008年70例患者设为加强组进行对比。结果对照组发生的VAP 24例,发生率35.3%,死亡16例,病死率66.7%;加强组发生VAP 9例,发生率12.9%,死亡3例。结论加强综合预防措施能明显降低VAP发生率。

Objective To explore the preventive measures to reduce ventilator-associated pneumonia （VAP） incidence. Methods The clinical data of 138 patients receiving mechanical ventilation in Emergency Room and Intensive Care Unit （ICU） from 2001 to 2008 were reviewed retrospectively. Sixty-eight of the cases during 2001 and 2004 were treated as control group without intensive prevention. The other 70 cases were managed with intensive preventive measures during 2005 and 2008. Results The incidence of VAP was 35.3%（24/68） in the control group. The case mortality was 16/24 （66.7%）. The incidence of VAP was 12.9% （9/70） in the intensive prevention group. The case mortality was 3/9. Conclusions Intensive preventive measures can significantly reduce the incidence of VAP.