摘要
目的探讨急诊插管后呼吸机相关性肺炎的危险因素及对策。方法对97例机械通气治疗的病人进行回顾性分析。结果年龄、机械通气时间、再插管、心肺脑复苏、胃内容物的吸入等与VAP的发生有明显关系(P<0.05),应用术前抗生素具有明显的预防效果(P<0.05)。结论预防VAP首先应针对发生VAP的危险因素采取相应的护理。
Objective To explore the risk factors of developing pneumonia when using ventilator in emergency and the countermeasure. Methods Ninety-seven patients were treated by mechanical ventilation and their data were analyzed retrospectively, Results The risk factors that were associated with development of pneumonia when using the ventilator included age, the timing, reintubafion, cardiopulmonary resuscitation, items sucked into stomach (P 〈 0. 05 ). Use of antibiotics medication had clear effects on the prevention ( P 〈 0. 05 ). Conclusion The prevention of ventilator - associated - pneumonia should find the ways of reducing risk factors and of proper medical and nursing care.
出处
《临床肺科杂志》
2006年第4期437-438,共2页
Journal of Clinical Pulmonary Medicine
关键词
急诊插管
呼吸机相关性肺炎
危险因素
对策
emergency incubation
ventilator-associated-pneumonia
risk factors
countermeasure