呼吸机集束干预对预防呼吸机相关性肺炎的影响

Impact of comprehensive care for the prevention of ventilator-associated pneumonia

目的：探讨呼吸机集束干预对预防呼吸机相关性肺炎的临床效果。方法：选择2013年5月~2014年7月我院进行机械通气治疗的102例患者为研究对象,随机将患者等分为对照组和试验组,对照组实施常规护理,试验组应用呼吸机集束干预。比较两组患者呼吸机相关性肺炎、病死、机械通气时间、住院时间。结果：试验组患者呼吸机相关性肺炎发生率和病死率显著降低（P〈0.05）;试验组患者机械通气时间和住院时间同对照组患者比较明显缩短,住院费用显著减少,差异具有显著性（P〈0.05）。结论：针对机械通气患者采用呼吸机集束干预可以明显降低呼吸机相关性肺炎发生率和病死率,缩短通气时间和患者住院时间,减轻患者经济负担,临床值得推广应用。

Objective：To investigate the integration of care for the prevention of ventilator - associated pneumonia clinical results. Methods：A hospital me-chanical ventilation therapy in 102 patients,the patients were randomized,of which the implementation of routine care of patients in the control group,the ex-perimental group patients with comprehensive care. To compare the difference between the two groups were observed indicators. Results：The experimental group of patients with ventilator - associated pneumonia incidence and mortality decreased significantly （P 〈 0. 05）. The experimental group were duration of mechanical ventilation and hospitalization with the control group compared to patients significantly reduced,significantly reduced hospital costs,the differ-ence was significant （P 〈 0. 05）. Conclusion：For mechanically ventilated patients with comprehensive care can significantly reduce ventilator - associated pneumonia incidence and mortality,shortened ventilation and hospitalization time,reduce the financial burden on patients,clinical worth promoting.