摘要
目的:分析呼吸重症监护室(RICU)患者发生呼吸机相关性肺炎(VAP)的影响因素。方法:选取2023年12月—2024年11月锦州医科大学附属第一医院RICU收治的150例患者作为研究对象,根据是否发生VAP分为发生组(15例)与未发生组(135例)。收集并比较两组患者临床资料,分析RICU患者发生VAP的影响因素。结果:年龄、吸烟情况、机械通气时间、合并基础疾病情况、接受侵入性操作情况是RICU患者发生VAP的影响因素(P<0.05)。年龄≥60岁、吸烟、机械通气时间≥7 d、合并基础疾病、接受侵入性操作是RICU患者发生VAP的独立危险因素(P<0.05)。结论:RICU患者发生VAP的影响因素较多,临床需根据患者具体情况制定针对性应对措施,降低VAP发生率。
Objective:To analyze the influencing factors of ventilator-associated pneumonia(VAP)in patients in respiratory intensive care unit(RICU).Methods:A total of 150 patients admitted to the RICU of the First Affiliated Hospital of Jinzhou Medical University from December 2023 to November 2024 were selected as the study subjects.According to whether VAP occurred,the patients were divided into the occurrence group(15 cases)and the non-occurrence group(135 cases).The clinical data of patients in the two groups were collected and compared.The influencing factors of VAP occurrence in RICU patients were analyzed.Results:Age,smoking,duration of mechanical ventilation,underlying diseases,and invasive operation were the influencing factors of VAP occurrence in RICU patients(P<0.05).Age≥60 years,smoking,duration of mechanical ventilation≥7 d,underlying diseases,and invasive operation were independent risk factors for VAP occurrence in RICU patients(P<0.05).Conclusion:There are many influencing factors of VAP occurrence in RICU patients.In clinical practice,it is necessary to formulate targeted countermeasures according to the specific situation of patients to reduce the incidence of VAP.
作者
未微
张佳宁
Wei Wei;Zhang Jianing(The First Affiliated Hospital of Jinzhou Medical University,Jinzhou 121000,Liaoning Province,China)
出处
《中国社区医师》
2025年第15期40-42,共3页
Chinese Community Doctors
基金
锦州医科大学2023年研究生教育教学研究与改革项目(编号:YJ2023-015)。
关键词
呼吸重症监护室
呼吸机相关性肺炎
应对措施
Respiratory intensive care unit
Ventilator-associated pneumonia
Countermeasures
