摘要
目的探讨呼吸机相关性肺炎(VAP)的发病原因及预防措施。方法收集2009年7月至2010年8月入院ICU行机械通气患者的临床资料70例,对发生VAP患者的临床资料进行回顾性分析。结果 70例机械通气患者中有26例发生VAP,占37.1%。26例VAP患者平均机械通气时间为(6.01±1.95)d,未发生VAP的患者平均机械通气时间为(3.11±1.07)d,二者比较差异有统计学意义(P<0.05)。共检出病原菌106株,其中革兰阴性菌70株,占66.1%;革兰阳性菌29株,占27.4%;真菌7株,占6.6%。结论 ICU患者VAP的发生与住院时间、机械通气时间、气管切开、滥用抗生素等因素有关。针对这些原因,采取针对性的处理及预防措施.可有效切断VAP感染途径并有效减少感染率。
Objective Ventilator-associated pneumonia（ventilator associated pneumonia,VAP） the causes and preventive measures.Methods From July 2009 to August 2010 mechanical ventilation ICU admission clinical data of 70 cases of VAP occurred in patients with clinical data were analyzed retrospectively.Results 70 patients with mechanical ventilation,26 patients had VAP,accounting for 37.1%.26 cases of VAP in patients with an average time of mechanical ventilation（6.01±1.95） days,did not occur in patients with VAP average mechanical ventilation time was（3.11±1.07） days,the difference was statistically significant（P0.05）.A total of 106 strains of pathogens,including gram-negative bacteria（G-） 70 strains,66.1%;gram-positive bacteria（G＋） 29 strains,27.4%;fungi 7（6.6%）.Conclusion ICU patients the incidence of VAP and hospital stay,mechanical ventilation,tracheotomy,the abuse of antibiotics and other factors.For these reasons,take appropriate treatment and preventive measures.VAP can be effectively cut off the routes of infection and to reduce infection rates.
出处
《中国医药指南》
2011年第13期196-197,共2页
Guide of China Medicine
