提高重症监护室呼吸机相关性肺炎干预措施执行率的研究

Research on Improvement of Implementation Rate of Intervention Measures of Ventilator Associated Pneumonia in ICU

目的探讨PDCA循环措施对重症监护室机械通气患者呼吸机相关性肺炎的干预效果。方法随机选取2014年5月至2016年1月我院重症监护室收治的100例机械通气患者设为观察组,采用PDCA循环措施促进呼吸机相关性肺炎干预措施的执行。另选取2011年5月到2013年1月收治的100例机械通气患者为对照组进行对比分析。结果观察组呼吸机相关性肺炎干预措施的执行率,呼吸机相关性肺炎的发生率、致死率,以及动脉血气分析值均显著优于对照组(P<0.05)。结论采用PDCA循环措施可有效提高呼吸机相关性肺炎干预措施的执行率,对呼吸机相关性肺炎的预防效果显著,值得临床推广应用。

Objective To investigate the effect of PDCA circulation on the ventilator associated pneumonia （VAP） in patients with mechanical ventilation in intensive care unit （ICU）. Methods One hundred cases of ICU patients with mechanical ventilation in our hospital from May 2014 to January 2016 were selected as the observation group; All patients received PDCA circulation measures to promote the implementation of intervention measures of VAP. 100 ICU patients with mechanical ventilation in our hospital from May 2011 to January 2013 were selected as the control group for comparison and analysis. Results The implementation rate of intervention measures of VAP of observation group was significantly higher than that of control group, the incidence rate and death rate of VAP were significantly lower than those of control group, and the values of arterial blood gas analysis were significantly better than those of control group （all P 〈0.05）. Conclusions PDCA circulati^n can effectively improve the implementation rate of intervention measures of ventilator associated pneumonia, and has a significant effect on the prevention of ventilator associated pneumonia, which is worthy of clinical application.