品管圈在降低ICU呼吸机相关性肺炎患者感染中的应用

Application of QCC in reducing infection of ICU patients with VAP

目的：探讨品管圈（QCC）在降低ICU呼吸机相关性肺炎（VAP）患者感染中的应用效果。方法：选择2013年1~12月380例患者作为观察组,实施QCC管理;选择2012年1~12月的380例患者作为对照组,实施常规ICU管理。主要评估两组VAP发生率、机械通气和住ICU时间,急性生理学、慢性健康评分（APACHEⅡ）和急性生理评分（SAPSII）。结果：观察组VAP发生率低于对照组（P〈0.05）,机械通气和住ICU时间均低于对照组（P〈0.05）,APACHEⅡ和SOFA评分均高于对照组（P〈0.05）。结论：QCC可降低ICU室VAP患者感染率,对患者治疗和生活质量有明显的改善作用。

Objective： To investigate the application effect of quality control circle（ QCC） in reducing infection of ICU patients with ventilator- associated pneumonia（ VAP）. Methods： 380 patients（ from January to December 2013） were taken as the observation group and QCC management was adopted in this group; other 380 patients（ from January to December 2012） were taken as the control group and routine ICU management was implemented in this group. The incidence of VAP,the duration of mechanical ventilation and the length of patient＇s stay in ICU,the scores of APACHE II and SAPSII were assessed and compared between the two groups. Results： The incidence of VAP was lower in the observation group than the control group（ P〈0. 05）; the duration of mechanical ventilation and the length of patient＇s stay in ICU was shorter in the observation group than the control group（ P〈0. 05）; APACHE II and SOFA scores were higher in the observation group than those in the control group（ P〈0. 05）. Conclusion： Application of QCC can significantly reduce the incidence of infection of ICU patients with VAP.