心脏瓣膜置换术后患者呼吸机相关性肺炎因素分析及护理干预

【摘要】 科研课题汕头市重点科技计划项目及医院经费资助项目(汕府科[2008]85号)摘要目的:探讨心脏瓣膜置换术后患者呼吸机相关性肺炎(VAP)的危险因素及护理措施,以降低术后患者VAP的发生。方法:将行心脏机械瓣膜置换术240例患者随机分为实验组和对照组。实验组120例予改良护理,对照组120例予常规护理。观察两组术后VAP发生率。结果:VAP与辅助呼吸时间、肺功能、吸烟史、年龄等呈正相关。试验组术后VAP发生率14.2%,对照组为23.3%;试验组较对照组VAP发生率明显下降。结论:在常规护理基础上,应用呼吸机集束化干预策略、呼吸功能训练、口腔护理及声门下吸痰,可减少VAP的发生。更多还原

【Abstract】 Objective:To study factors Ventilator-associated pneumonia patients after replacement of mechanical heart valve and nursing measures to prevent it.Methods:mechanical heart valve replacement surgery were divided into experimental and control groups.Experimental group of 120 improve the care,control group 120 cases for routine care.Observe the incidence of VAP.Results:VAP and ventilation time,pulmonary function,age was positively correlated.Experimental group rate was 14.2% in control group was 23.3%.Conclusions:Respirator cluster-based intervention strategies,training respiratory function oral care subglottic suctioning,can reduce incidence of VAP.更多还原