重型颅脑外伤患者呼吸机相关性肺炎的因素分析与护理干预

Factors of severe traumatic brain injury patients with ventilator-associated pneumonia and nursing intervention

目的:探讨重型颅脑外伤患者呼吸机相关性肺炎的因素分析和护理方法,减少机械相关性肺炎的发生。方法:将2009年1月～2011年12月入住我院重型颅脑外伤65例患者随机分为干预组33例和对照组32例,分别采用综合护理干预方法和常规护理方法,比较其机械相关性肺炎发生情况。结果:影响重型颅脑外伤患者呼吸机相关性肺炎的因素有年龄、住院天数、呼吸机应用天数、气管切开、休克患者、心肺基础病;采用综合护理干预方法的患者VAP发生率低于采用常规护理的患者(P<0.05)。结论:对机械通气患者行综合护理干预,能有效减少重型颅脑外伤患者机械通气相关性肺炎的发生率,有一定的临床意义,值得普遍推广。

Objective：To explore the factors of severe traumatic brain injury patients with ventilator-associated pneumonia and care,reducing the occurrence of mechanical-related pneumonia.Methods：65 patients admitted to our hospital with severe brain injury from January 2009 to December 2011,65 cases were randomly divided into intervention group（33 cases） and control group（32 cases）,were comprehensive nursing intervention methods and routine nursing interventions,compared machinery-related pneumonia occurrence.Results：Severe traumatic brain injury patients with ventilator-associated pneumonia,factors of age,length of stay,ventilator days,tracheotomy shock patients,cardiopulmonary underlying diseases.Comprehensive nursing intervention methods of patients with the incidence of VAP was significantly lower than conventional care patients（P0.05）.Conclusion：Mechanical ventilation in patients with comprehensive nursing intervention methods can effectively reduce the incidence of severe traumatic brain injury patients with ventilator-associated pneumonia,the clinical significance worthy of widespread promotion.