呼吸机相关性肺炎的危险因素及护理体会

The Risk Factors of Ventilator-associated Pneumonia and the Comprehension of Nursing Experience

目的：探讨 ICU 病房患者发生呼吸机相关性肺炎的危险因素，总结护理措施。方法选取我院呼吸科2009年3月～2012年11月ICU 病房行机械通气的88例患者作为研究对象，分析临床资料，制定护理措施。结果88例患者中，发生呼吸机相关性肺炎26例，发生率为29.5%。结论护理人员要重视体位管理、气道管理、口腔护理、严格无菌操作、合理应用抗生素、注意营养支持等基础护理措施，减少并发症发生，从而减少 VAP 的发生。

Objective To investigate the risk factors of ventilator-associated pneumonia （VAP） in ICU patients, and summarize the nursing intervention. Methods 88 patients with mechanical ventilation in ICU ward of the department of respiration in our hospital March 2009 to November 2012 were selected as the researching object. The clinical data was analyzed, and nursing intervention was enacted. Results Among 88 cases, 26 patients with VAP occurred, the incidence rate was 29.5%. Conclusion The nursing personnel should pay attention to the position management, airway management, oral nursing, strict aseptic processing, rational use of antibiotics, be caution with the basic nursing measures such as nutritional support, reduce the incidence of complications, so as to reduce the incidence of VAP.