摘要
目的 探讨ICU机械通气患者肺部感染的相关因素及护理对策。方法 采用回顾性调查的方法 ,对施机械通气 2 4h以上 6 2例患者、14个与机械通气肺部感染相关因素进行单因素和logistic回归分析。结果 肺部感染的发生率为 30 6 5 %。年龄≥ 6 0岁、机械通气时间≥ 4d、患者仰卧位、雾化吸入、频繁吸痰是肺部感染的相关因素。结论 加强ICU全方位管理和感染监测 ,严格无菌技术和消毒隔离 ,尽量采用半卧位 ,减少不必要的吸痰和雾化吸入 。
Objective\ To explore the factors associated with pulmonary infection in ICU patients with mechanical ventilation and nursing intervention. Methods\ Among 62 patients admitted ICU during Sep.1997 to Dec.2000 with mechanical ventilation more than 24 hours, Adopting retrospective invenstigation method, with singal factor analysis and logistic regression analysis, We analyzed 14 factors which related to mechanical ventilation induced pulmonary infection. Results\ The rate of develop pulmonary infection was 30.65%. The pulmonary infection related factors included: advanced age (above 60), mechanical ventilation more than 4 days. supine position, nebulization, frequent suctioning. Conclusions\ Enhancing ICU administration in every aspect and infection surveillance, strict aseptic technique and sterilization-Isolation technique, using semisupine position, reducing unnecessary suctioning and nebulization. Avoiding the risk factors which associated with pulmonary infection was the effective method to reduce the pulmonary infection.
出处
《实用护理杂志》
北大核心
2001年第9期7-10,共4页
Journal of Practical Nursing
关键词
机械通气
肺部感染
相关因素
护理对策
mechanical ventilation
pulmonary infection
related factor
nursing intervention
