集束化干预措施对综合ICU呼吸机相关性肺炎预防控制效果的研究

Clinical Effect of Clustered Intervention on Prevention and Control of Ventilator-associated Pneumonia in Integrated ICU

目的:探讨集束化干预措施对综合ICU呼吸机相关性肺炎(VAP)预防控制效果。方法:将100例ICU行机械通气患者随机分为试验组和对照组,每组患者50例。试验组给予护理、气道管理、常规消毒等集束化干预措施,对照组给予常规的气管护理措施,比较2组通气时间、住院时间和VAP发生率。结果:试验组机械通气时间、住院时间和VAP发生率显著低于对照组(P<0.05)。结论:集束化干预措施可有效降低综合ICU中VAP的发生,缩短机械通气时间和住院时间。

Objective： To explore the effect of clustered intervention on prevention and control of ventilator-associated pneumonia （VAP） in integrated ICU. Methods： A total of 100 patients with mechanical ventilation in ICU were randomly divided into experimental group and control group, 50 patients in each group. The experimental group received clustered intervention such as nursing, airway management and routine disinfection, while the control group received routine tracheal nursing measures. The ventilation time, hospitalization time and infection rate of VAP were compared between the two groups. Result： The ventilation time, hospitalization time and infection rate of VAP in the experimental group were significantly lower than those in the control group （P〈 0.05）.Conclusion： The clustered intervention can effectively reduce the incidence of VAP in ICU, and shorten the time of mechanical ventilation and hospitalization.