急诊插管后呼吸机相关性肺炎的危险因素及对策

Emergency after Intubation Breathing Machine Correlation Pneumonia Risk Factors and Countermeasures

目的分析探讨急诊插管后呼吸机相关性肺炎的危险因素,并提出相应的对策。方法对108例采取机械通气治疗的患者的病历进行回顾性分析。结果年龄、机械通气时间、再插管、心肺脑复苏、胃内容物的吸入等都是影响呼吸机相关性肺炎的危险因素,而抗生素的术前采用则可以起到明显的预防效果(P<0.05)。结论对于呼吸机相关性肺炎应当根据患者的年龄、机械通气时间、再插管、心肺脑复苏、胃内容物的吸入等因素进行有针对性的护理,并在术前选用抗生素进行适当预防。

Objective To analyze the emergency after intubation breathing machine correlation pneumonia risk factors, and put forward the corresponding countermeasures. Methods 108 patients adopt mechanical ventilation treatment of the patient＇s medical records were retrospectively analyzed. Results Age, mechanical ventilation time and reintubation, cardiopulmonary cerebral resuscitation, stomach contents of suction and so on all is affects breathing machine correlation pneumonia risk factors, and antibiotics preoperative use may play a significant preventive effect（P〈0.05）. Conclusion For breathing machine correlation pneumonia shall, according to the patient＇s age, mechanical ventilation time and reintubation, cardiopulmonary cerebral resuscitation, stomach contents of suction etc factors on targeted nursing, and in the preoperative choose appropriate antibiotics prevention.