摘要
目的探讨ICU呼吸机相关性肺炎的原因及护理对策,以降低呼吸机相关性肺炎的发生率。方法选取医院ICU 2009年1月-2012年1月收治的78例呼吸机相关性肺炎患者的临床资料,对患者进行针对性护理,保持呼吸道通畅、严格无菌操作、做好口腔护理、预防误吸和胃液反流等,观察护理疗效并总结护理经验。结果在78例患者中,经痰培养获得阳性菌株102株,其中革兰阴性菌85株占83.33%,革兰阳性菌17株占16.67%;有4例患者死亡,死亡率为5.13%,其余患者脱机。结论对ICU建立人工气道,使用呼吸机辅助通气的患者进行针对性护理,能够减少患者呼吸机相关性肺炎的发生率,临床疗效满意,值得在临床推广。
OBJECTIVE To investigate the causes of ventilator-associated pneumonia in ICU and propose the nursing countermeasures so as to reduce the incidence of ventilator-associated pneumonia.METHODS The clinical data of 78 patients with ventilator-associated pneumonia in ICU were selected from Jan 2009 to Jan 2012,the targeted nursing was performed to keep the respiratory tract unobstructed,and strict aseptic manipulation and good oral care were carried out so as to prevent the aspiration and regurgitation.RESULTS Of 78 patients investigated,totally 102 strains of bacteria were cultured from the sputum,including 85（83.33%） strains of gram-negative bacteria and 17（16.67%） strains of gram-positive bacteria;4 patients died,the mortality rate was 5.13%,the remaining patients were offline.CONCLUSION The artificial airway is established to carry out the targeted nursing for the patients undergoing mechanical ventilation,which can reduce the incidence of the ventilator-associated pneumonia and can achieve the satisfactory clinical efficacy,thus it is worthy of the clinical promotion.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2013年第5期1007-1009,共3页
Chinese Journal of Nosocomiology
