呼吸机相关性肺炎危险因素分析及对策

Risk Factors and Countermeasures of Ventilator Associated Pneumonia

目的:探究呼吸机相关性肺炎的危险因素及对策,以供临床参考及研究。方法:本次研究对象从2015年1月-2016年2月于笔者所在医院神经重症行机械通气患者中选取43例,通过对43例神经重症行机械通气患者的临床资料进行回顾性分析,针对呼吸机相关性肺炎的危险因素进行分析,并对其危险因素寻找对策进行解决或预防。结果:通过本文研究所选择的病例中可以看出,发生呼吸机相关性肺炎患者12例,占27.91%。危险因素主要包括自身因素、环境因素、气管插管因素等,占总例数的41.67%(5/12)、33.33%(4/12)、25.00%(3/12)。结论:呼吸机相关性肺炎的危险因素较多,需要在进行治疗的同时密切观察患者的各项生命指标,遇到问题做到及时干预,从而有效降低患者出现呼吸机相关性肺炎的机率,进一步保障患者的生命安全,可应用以及推广。

Objective： To explore the risk factors of ventilator associated pneumonia and its countermeasures in order to provide clinical reference and research.Method： 43 cases of mechanical ventilation patients in neurological intensive in the author＇s hospital from January 2015 to February 2016 were selected. the clinical data of 43 patients were analyzed retrospectively, and the risk factors of ventilator-associated pneumonia were analyzed, and the the risk factors were resolved and prevented.Result： After study, the patients with ventilator-associated pneumonia were 12 cases, 27.91% of the total number of cases, risk factors included their own factors, environmental factors, endotracheal intubation and other factors, accounted 41.67% of the total number of cases （5/12）, 33.33%（4/12）, 25.00%（3/12）.Conclusion： Ventilator-associated pneumonia in the risk factors, also need treatment during the close observation of the vital signs of the patient, encounter problems timely intervention, thus effectively reducing the probability of patients with ventilator-associated pneumonia, further protect patients life safety, can be applied as well as promotion.