感染控制干预组合措施对呼吸机相关性肺炎发病率的影响研究

Study on effect of bundle intervention control on the incidence rate of ventilator- associated pneumonia of inpatients

目的研究感染控制干预组合措施对住院病人呼吸机相关肺炎(VAP)的控制效果。方法通过目标性监测方法,对某医院重症监护病房采用感染控制干预组合措施防控住院患者呼吸机相关肺炎的效果进行观察。结果经采取组合干预措施,对照组接受机械通气患者的VAP发病率为42.92‰,用患者病情严重程度(ASIS)调整后发病率为12.88‰;在实施感染控制干预组合措施的观察组接受机械通气的患者VAP发病率为17.09‰,ASIS调整后发病率为3.80‰,两组间比较差异有统计学意义(P<0.05)。同时观察组病人住院时间明显缩短,呼吸机使用天数也有所减少。结论采取培训、加强手卫生和氯己定消毒液口腔护理等系列干预措施,可有效降低机械通气病人VAP的发病率。

Objective To study the effect of bundle interventions control on the incidence of ventilator - associated pneu- monia （VAP） of inpatients. Methods By using application study targeted monitoring method, to observe the effect of bundle interventions control on the incidence rate of ventilator - associated pneumonia （VAP） of ICU inpatients. Results The incidence of ventilator - associated pneumonia in the control group which undergoing mechanical ventilation was 42.92‰, ASIA adjusted incidence rate was 12.88‰. While the incidence of ventilator - associated pneumonia in the expe- rience group which undergoing bundle interventions was 17.09‰, ASIA adjusted incidence rate was 3.80‰. There was significant difference between the two groups. At the same time, the hospitalization time of experience group was significant- ly shorter,the time of using mechanical ventilation was also decreased. Conclusion Using the intervention measures of training, enhancing hand hygiene and chlorhexidine disinfectant oral nursing can effectively reduce the incidence rate of VAP in patients with mechanical ventilation.