二级医院综合性ICU机械通气患者预防VAP综合干预的效果

The Effect of Comprehensive Intervention on VAP in Patients With Comprehensive ICU Mechanical Ventilation in Two Grade Hospitals

目的探析综合干预措施在二级医院综合性重症医学科(ICU)机械通气患者预防呼吸机相关性肺炎(VAP)的效果。方法选取我院ICU 2016年5月—2017年5月收治的72例接受机械通气治疗患者,将其随机分为观察组与对照组,每组各36例;对照组采取常规干预,观察组采取综合干预措施预防,比较两组患者的VAP的发生率。结果观察组VAP发生率为8.33%,与对照组比较,差异具有统计学意义(P<0.05);观察组机械通气时间为(6.0±2.1)d、住院时间为(9.0±2.3)d,与对照组比较,差异具有统计学意义(P<0.05)。结论综合干预措施对二级医院综合性ICU机械通气患者预防VAP的效果显著。

Objective To observe the clinical effect of comprehensive nursing intervention on prevention of VAP in patients with ICU mechanical ventilation. Methods A total of 72 patients treated with mechanical ventilation were randomly divided into observation group （36 cases） and control group （36 cases） from May 2016 to May 2017. The control group received routine intervention, and the observation group adopted comprehensive intervention measures to prevent, the incidence of VAP was compared between the two groups. Results The incidence of VAP was 8.33% in the observation group, compared with the control group, the difference was statistically significant （P〈0.05）. The time of mechanical ventilation （6.0±2.1） d and （9.0±2.3） d in the observation group were significantly different from those in the control group, the difference was statistically significant （P〈0.05）. Conclusion Comprehensive prevention and care intervention on the ICU mechanical ventilation in patients with ventilator- associated pneumonia treatment is significant.