摘要
目的探讨"集束化处理"方案对重型颅脑外伤呼吸机相关性肺炎(VAP)的预防作用。方法将2008年1～12月使用呼吸机的重型颅脑外伤患者作为观察组(n=205),以2007年1～12月使用呼吸机的重型颅脑外伤患者作为对照组(n=222)。对照组患者采用常规治疗及控制感染治疗,观察组患者在对照组治疗方案的基础上采用集束化处理以预防VAP。结果全年中观察组患者发生VAP人数占使用呼吸机人数的百分比明显低于对照组(t=6.651,P<0.01)。结论采用集束化处理方案对重型颅脑外伤并使用呼吸机治疗的患者进行干预,可有效防止VAP的发生。
Objective To explore the preventive effect of ＇cluster treatment regimen＇ on ventilator associated pneumonia（VAP） in severe craniocerebral trauma.Methods Patients with severe craniocerebral trauma treated with ventilator from January to December 2008 served as observation group（n=205）,and the patients with severe craniocerebral trauma treated with ventilator from January to December 2007 served as control group（n=222）.The patients in control group were subjected to conventional treatment and infection control treatment,while patients in observation group were given additional cluster treatment regimen to prevent VAP based on the treatment regimen of control group.Results Among patients treated with ventilator,the percentage of patients suffered from VAP in observation group were lower significantly than that in control group throughout the year（t=6.651,P0.01）.Conclusion Intervention of cluster treatment regimen on patients with severe craniocerebral trauma who treated with ventilator can prevent the occurrence of VAP effectively.
出处
《重庆医学》
CAS
CSCD
北大核心
2012年第9期856-858,共3页
Chongqing medicine
关键词
颅脑损伤
呼吸
人工
综合预防
呼吸机相关性肺炎
集束化处理
craniocerebral trauma
respiration
artificial
universal precautions
ventilator associated pneumonia
cluster treatment
