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肿瘤患者ICU呼吸机相关性肺炎危险因素分析
Study of risk factors for ventilator-associated pneumonia in patients in ICU
【摘要】 目的分析ICU呼吸机相关性肺炎(VAP)的医院感染危险因素,加强医院感染的防治。方法采用前瞻性的调查方法,对我院ICU 215例使用呼吸机患者的医院感染情况进行调查,分析呼吸机相关性肺炎(VAP)的医院感染危险因素。结果 VAP与年龄、入院时卡氏(Karnofsky,KPS)评分、持续使用呼吸机时间、是否有创通气、口腔护理次数、制酸剂的使用时间、使用抗菌药物有关,差异有统计学意义(P<0.05)。结论为预防VAP的发生,应针对危险因素采取相应的预防控制措施。
【Abstract】 Objective To study the risk factors for ventilator-associated pneumonia(VAP) in patients with cancer in intensive care unit(ICU) and its clinical control measures.Methods A total of 215 patients with mechanical ventilation associated nosocomial infection were investigated and the affecting factors were analyzed by chi-square test. Results The infection factor was related to the patients age,Karnofsky grade,the duration of mechanical ventilator,tracheotomy,mouth care,antiacid,and preventive antimicrobial drug,which were significantly different(P<0.05).Conclusions Preventing risk factors of nosocomial infection should be taken as appropriate control measures.
【Key words】 ventilator-associated pneumonia; nosocomial infection; risk factors; ICU;
- 【文献出处】 福建医药杂志 ,Fujian Medical Journal , 编辑部邮箱 ,2012年01期
- 【分类号】R563.1
- 【被引频次】8
- 【下载频次】44