新生儿呼吸机相关性肺炎的感染及集束化干预对VAP发生率与机械通气时间的影响

Effects of infection and clustering intervention of neonatal ventilator-associated pneumonia on incidence of VAP and mechanical ventilation time

目的分析新生儿呼吸机相关性肺炎(VAP)的感染特征,探讨机械通气患儿给予集束化干预对VAP的发生、机械通气时间的影响效果。方法将我院新生儿重症监护室(NICU)在2017年7月~2018年7月接收的76例患儿,采用随机数字表法将患儿分为参照组、干预组,分别给予常规护理、集束化干预,对比两组干预效果。结果干预组撤机成功率高于参照组且VAP发生率、病死率低于参照组(P<0.05);干预组机械通气时间、监护时间均短于参照组(P<0.05)。结论集束化干预能有效预防VAP的发生,缩短患儿机械通气时间、住院时间,值得推广。

Objective To analyze the infection characteristics of neonatal ventilator-associated pneumonia (VAP) and to explore the effect of clustering intervention on the occurrence and mechanical ventilation time of VAP in infants with mechanical ventilation. Methods 76 neonates who were admitted to the neonatal intensive care unit (NICU) of our hospital from July 2017 to July 2018 were selected.They were divided into the reference group and the intervention group by random number table method.The reference group and the intervention group were respectively given routine nursing and clustering intervention.The effect of intervention was compared between the two groups. Results The success rate of ventilator weaning in the intervention group was higher than that of the reference group,and the incidence of VAP and mortality were lower than the reference group (P < 0.05).The mechanical ventilation time and monitoring time of the intervention group were shorter than those of the reference group (P < 0.05). Conclusion Clustering intervention can effectively prevent the occurrence of VAP and shorten the time of mechanical ventilation and hospital stay,which is worth promoting.