摘要
目的对呼吸机相关性肺炎(VAP)患者的临床资料及相关因素进行回顾性分析,认识了解VAP发生的危险因素。方法分析自2003年3月至2006年3月我院接受机械通气患者的临床资料,按诊断标准分为发生VAP组和未发生VAP组,对两组患者的相关因素及预后进行评价。结果共收集131例,发生VAP组73例,未发生VAP组58例,发生VAP组机械通气时间明显长于未发生VAP组(P<0.05);两组在年龄、APACHE评分相仿,而病死率却无差别(P>0.05),预防性使用抗生素不能降低VAP的发生。结论机械通气时间是影响VAP发生的重要因素。VAP不是导致患者死亡的直接原因,而是病情危重的一个表现。防治VAP的措施是必要的。
Objective To understand the correlation factors about ventilator associated pneumonia （VAP） through analyzing the patients, clinical materials. Methods The patients admittd to our hospital from Jan. 2000 - Apr. 2004 were divided into two groups： VAP or non - VAP group, according to the diagnosis criteria. The comparative analysis was performed in clinical characteristics, correlation factors. Results 131 cases were collected, in which 73 cases were VAP group（55.73% ）, and 58 cases non- VAP group（44.27% ）. Patients with VAP showed longer ventilation times（ P 〈 0.05）. No differences were found for age, APACHE Ⅱ values and mortality between two groups（ P 〉 0.05）. Prophylactic use of antimicrobials can not decrease the morbidity of VAP. Conclusion VAP was not the efficient cause of death , but only a exhibition . Preventive measures should be employed.
出处
《社区医学杂志》
2006年第09S期3-5,共3页
Journal Of Community Medicine
关键词
机械通气
呼吸机相关性肺炎
相关因素
Ventilator associated pneumonia
Ventilation
Correlation factor
