【摘要】 目的 探讨儿科重症监护病房呼吸机相关性肺炎发生的危险因素。方法 对我院重症监护病房收治的46例患儿进行回顾性分析,记录患儿性别、年龄、机械通气方法及时间、吸痰频次、体质量,统计呼吸机相关性肺炎发生率,对呼吸机相关性肺炎发生的危险因素进行单因素分析及Logistic回归分析。结果 本组患儿有22例发生呼吸机相关性肺炎,发生率为47.8%。机械通气方法(插管)、吸痰3次—4次、机械通气>72 h对PICU患儿VAP的发生有显著影响(P<0.05或0.01)。结论 重症监护病房患儿呼吸机相关性肺炎的发生与插管式机械通气、机械通气时间长、吸痰频次少有关,临床医师应给予重视,并做好干预措施,减轻患儿痛苦。更多还原

【Abstract】 Objective To explore the risk factors of ventilator associated pneumonia(VAP) in neonatal intensive care unit(PICU). Methods 46 cases of children treated in PICU of our hospital were retrospectively analyzed,gender, age, mode of mechanical ventilation, sputum suction frequency, body mass were recorded, the risk factors of VAP were analyzed by single factor analysis and Logistic regression analysis.Results Among the 46 cases,there were 22 cases with VAP, occurrence rate was 47. 8%. Mechanical ventilation method(intubation), sputum suction 3-4 times, mechanical ventilation>72 h all had significant influence on VAP of children in PICU(P<0. 05 or 0. 01). Conclusion VAP in PICU is related to the time and mode of mechanical ventilation and the frequency of sputum suction. Therefore, pediatric medical staff should take great attentions to it and strengthen the corresponding intervention to ease the suffering of children.更多还原