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神经外科ICU患者人工气道干预后呼吸机相关性肺炎发生现状及其危险因素分析 被引量:10

Current status and risk factors of ventilator associated pneumonia in patients with neurosurgical ICU after artificial airway intervention
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摘要 目的探讨神经外科ICU患者人工气道干预后呼吸机相关性肺炎(VAP)发生现状及其危险因素。方法选取2017年6月至2018年12月我院神经外科ICU收治的行人工气道干预的患者200例,通过查阅病历资料,对患者信息进行统计、记录,并借助单因素、多因素logistic回归分析确定发生VAP的危险因素。结果 200例人工气道干预患者中发生VAP 46例,发生率为23%;经单因素、多因素logistic回归分析显示,VAP发生与性别、插管方式、抑酸剂使用无关(P> 0. 05),年龄≥50岁、人工气道干预时长≥7 d、气管切开、住ICU时长≥7 d、使用抗生素种类>2种、抗生素使用时长> 3 d是人工气道干预患者发生VAP的独立危险因素(P <0. 05)。结论神经外科ICU患者人工气道干预后VAP发生率偏高,故需明确VAP发生的危险因素,以便于制定临床护理措施,以降低VAP发生率。 Objective To investigate the current status and risk factors of ventilator associated pneumonia( VAP) in patients with neurosurgical ICU after artificial airway intervention. Methods To select 200 cases of patients with artificial airway intervention in the ICU of our hospital from June 2017 to December 2018. The patients’ information was counted and recorded by reviewing the medical records,and analyzed by Univariate analysis and multivariate logistic regression to identify the risk factors for VAP. Results In the 200 cases of patients with artificial airway intervention,46 cases of patients had VAP,the incidence rate was 23%. Univariate and multivariate logistic regression analysis showed that VAP was not associated with gender,intubation methods,and antacid use( P > 0. 05). The age ≥ 50,artificial airway intervention time ≥7 d,tracheotomy,ICU duration ≥7 d,antibiotic type > 2,antibiotic use length > 3 d were independent risk factors for VAP in artificial airway intervention( P < 0. 05). Conclusion The incidence of VAP was high after artificial airway intervention in neurosurgical ICU patients. Therefore,the risk factors of VAP should be identified to facilitate the development of clinical nursing measures to reduce the incidence of VAP.
作者 李凯 LI Kai
出处 《护理实践与研究》 2019年第22期12-14,共3页 Nursing Practice and Research
关键词 神经外科 ICU 人工气道 呼吸机相关性肺炎 危险因素 Neurosurgery ICU Artificial airway Ventilator-associated pneumonia Risk factors
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