ICU呼吸机相关性肺炎的危险因素分析及其护理对策研究

目的:分析外科重症监护室呼吸机相关性肺炎的危险因素,探讨预防呼吸机相关性肺炎的护理对策。方法:对我院2013年7月至2014年6月间外科重症监护室使用呼吸机治疗的103例患者进行回顾性分析,统计该组患者中呼吸机相关性肺炎的发生率,采用logistic软件分析呼吸机相关性肺炎的相关因素,探讨其护理措施。结果:103例使用呼吸机治疗的患者中又19例发生呼吸机相关性肺炎,发病率为18.45%,其中16例治愈,3例死亡,死亡率为15.79%,logistic分析结果表示与呼吸机相关性肺炎具有相关性的因素包括为内容物反流、使用呼吸机时间较长、广谱抗菌药物的应用、血清白蛋白水平较低、抗酸剂的应用等..结论:1CU呼吸相关性肺炎的发生与多种因素有关,对ICU使用呼吸机治疗的患针对呼吸机相关性肺炎的危险因素进行护理,降低患者发生呼吸机相关性肺炎的发生率,为患者基础疾病的治疗提供保障。

Objective：To analyze the risk SICU ventilator-associated pneumonia factors, to explore the nursing countermeasures of preventing ventilator-associated pneumonia. Methods：103 cases treated with ventilator in our hospital from 2013 July to 2014 June between the surgical ICU patients were retrospectively analyzed, classified statistics of ventilator-associated pneumonia in this group of patients the incidence of ventilator-associated pneumonia related factor analysis by logistic sofcware, to explore the nursing measures.Results： 103 cases treated with ventilator patients and 19 cases of ventilator associated pneumonia, the incidence rate was 18.45%, of which 16 cases were cured, 3 cases died, the mortality rate was 15.79%, the results of logistic analysis indicated include factors correlated with ventilator-associated pneumonia with the contents reflux, the respirator time longer, application of broad-spectrum antibiotics and low serum albumin level, antacid application etc.Conelusion：ICU appears to be related to many factors ventilator associated pneumonia and nursing of ICU ventilator therapy for ventilator-associated pneumonia risk factors, reduce the patients with ventilator-associated pneumonia incidence, provide safeguard for the treatment of underlying diseases patients.