【摘要】 目的  探讨加强护理干预措施对呼吸机相关性肺炎发病率的影响。 方法  将2007年1月-2008年12月收住在重症监护病房行有创机械通气治疗的96例患者，随机分为对照组和治疗组，每组48例，比较不同护理干预对呼吸机相关性肺炎的影响。 结果  对照组VAP发生率52%（25/48），治疗组VAP发生率23%（11/48），两组比较有统计学意义（χ2=8.711，P=0.003）。 结论  针对VAP感染的环节加强气管导管气囊的管理、吸痰、口腔护理等干预措施可以有效降低VAP的发生率。
【Abstract】 Objective  To investigate the impact of nursing intervention on ventilation-associated pneumonia. Methods  A total of 96 patients from January 2007 to December 2008 who had undergone invasive mechanical ventilation in ICU were randomly divided into a trial group and a control group with 48 patients in each. The impact of the different nursing intervention on ventilator-associated pneumonia were compared. Results  The incidence of ventilator associated pneumonia (VAP) was 52% (25/48) in the control group, and 23% (11/48) in the trial group;the difference between the two groups was statistically significant (χ2=8.711，P=0.003). Conclusion  The nursing intervention in VAP infection chain, such as the management of tracheal suction catheter balloon, aspiration of sputum, and oral care interventions, can reduce the incidence of VAP effectively.

Citation： LI Lihua,WANG Li. Prevention and Nursing Care of Ventilation-Associated Pneumonia in Synthetic ICU. West China Medical Journal, 2010, 25(9): 1745-1746. doi: Copy

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