呼吸内科重症患者呼吸机相关性肺炎(VAP)的危险因素及护理策略分析

Risk Factors and Nursing Strategies of Ventilator Associated Pneumonia(VAP) in Patients With Severe Respiratory Diseases

目的对呼吸内科重症患者使用呼吸机过程中发生相关性肺炎的危险因素进行总结分析,优化护理方案。方法将2013年10月-2015年10月在我科治疗的80例机械通气患者中其中发生了VAP的40例患者列为观察组,未发生VAP的40例患者列为对照组,对两组患者的临床资料进行回顾分析,探讨VAP的危险因素并总结相应的优化护理措施。结果气管插管,气管切开,神志障碍、通气时间>8 d,留置胃管及静脉穿刺置管是导致VAP发生的高危险因素。结论临床工作中要针对发生呼吸机相关性肺炎的高危险因素采取优化的护理措施,以降低VAP的发生率。

Objective To analyze the risk of ventilator associated pneumonia patients with severe respiratory medicine in the process factors, optimize the nursing program. Methods Chose 80 cases of patients with mechanical ventilation from October 2013 to October 2015 in our hospital, which occurred in 40 cases of VAP patients as the observation group, 40 patients without VAP were divided into control group, retrospective analysis of the clinical data of two patients, to investigate the risk factors of VAP optimization and summarize the corresponding nursing measures. ResultsEndotracheal intubation, tracheotomy, mental disorder, ventilation time 〉8 d, indwelling gastric tube and intravenous puncture the puncture tube is a high risk factor that leads to VAP. Conclusion The high risk factors of ventilator associated pneumonia should be optimized to reduce the incidence of VAP in the clinical work.