探讨分析ICU呼吸机相关性肺炎的预防及危险因素

目的对ICU呼吸机相关性肺炎发生的危险因素进行分析,探讨其做为VAP（呼吸机相关性肺炎）控制与预防提供依据的重要性.方法选取我院ICU病房2010年1月—2014年1月期间收治的403例患者,患者均进行机械通气治疗.分析方法采取病例一对照的方法,对可能发生VAP的危险因素进行探究,并进一步进行具体分析总结,以找出预防和控制VAP发生的最有效的方法并进行总结.结果针对多次插管、抗生素联用种类〉2种、机械通气时间、APACHEⅡ评分〉15分等的OR值等多因素进行分析结果具有统计学意义.结论目前关于ICU呼吸机相关性肺炎的危险因素多种多样,多次插管、抗生素联用种类〉2种、机械通气时间、APACHEⅡ评分〉15分等为主要因素.

objective to ICU ventilator associated pneumonia risk factors were analyzed, and discussed its as（ ventilator associated pneumonia ）VAP provide according to the importance of the control and prevention. Methods select our hospital ICU in January 2010 - January 2014, 403 patients admitted during the period of patients with mechanical ventilation treatment. Analysis approach of case - control measures, and to explore the possible risk factors for VAP, and further concrete analysis summarized, to find out the most effective way to prevention and control of VAP and summarized. Results for multiple intubation, 2 kinds of antibiotic combination type 〉, mechanical ventilation time, APACHE Ⅱ score 〉 15 the OR value of the grading and other factors are statistically significant outcomings. conclusion At present about the risk factors of ventilator associated pneumonia in ICU is varied, repeated intubation, 2 kinds of antibiotic combination type 〉, mechanical ventilation time, APACHE Ⅱ score 〉 15 classification as the main factors.