机械通气相关肺炎危险因素分析及护理对策

Analysis of dangerous factors from mechanically ventilated pneumonia and nursing countermeasures

对 39例机械通气引发肺炎的相关因素进行分析。认为气道损伤正常屏障破坏 ,空气消毒不彻底 ,仪器重复使用 ,平卧位及营养不良是机械通气并发肺炎的相关危险因素 ,并提出护理对策 :( 1)减少气道损伤 ;( 2 )严格消毒隔离制度 ;( 3)遵守操作规程 ;( 4 )加强卧位及营养护理 ;( 5 )密切观察病情。旨在降低机械通气相关肺炎的发生率。

In this paper, by analyzing 39 cases of mechanically ventilated pneumonia, the authors conclude that the dangerous factors appear to be trachea injury, normal barrier damage, no complete sterilization of air, repeated use of instrument, contamination from nursing staff, horizontal position and malnutrition. Aiming at them, such countermeasures are proposed as: 1) avoidance of injury at air passage; 2) strict performance of sterilization and isolation; 3) severe operation of procedures; 4) reinforcement of the nursing at horizontal position and nutrition; 5) careful observation of the patients, for the purpose of reducing the occurrence rate of mechanically ventilated pneumonia.