中国全科医学2012，Vol.15Issue(21)：2394-2396,3.DOI:10.3969/j.issn.1007-9572.2012.07.091
急诊重症监护病房呼吸机相关性肺炎危险因素分析
Risk Factors Analysis among Patients in Emergency Intensive Care Unit with Ventilator-Associated Pneumonia
杜育刚 1曾杏梅 1黎敏1
作者信息
- 1. 570311,海南省海口市,海南省人民医院急诊科
- 折叠
摘要
Abstract
To explore the risk factors and preventive measures of ventilator - associated pneumonia ( VAP) in emergency intensive care unit ( EICU ) . Methods With retrospective case - control study method, according to whether VAP occurred, 185 cases [ time of mechanical ventilation ( MV ) ≥48 h] were divided into case group ( n = 65 ) and control group ( n = 120 ), then single factor analysis and multiple factors non - conditional logistic regression method were used to screen the risk factors. Results The VAP incidence of these patients with MV was 35. 1 % . Multivariate logistic regression analysis showed that longer time of MV ( OR =3. 015 ), virulence operation ( OR =3. 166 ), detaining gastric canal ( OR =4. 757 ), use of antiacid( OR =4. 211 ), COPD ( OR =4. 125 ) and higher score of APACHE Ⅱ ( OR =2.366 ) were independent factors of VAP. Conclusion EICU patients receiving MV have higher VAP incidence. VAP has many risk factors, and comprehensive prevention measures should he adopted to prevent the occurrence of VAP.关键词
重症监护病房/肺炎,呼吸机相关性/机械通气/危险因素Key words
Intensive care unit/ Pneumonia, ventilator - associated/ Mechanical ventilation/ Risk factors分类
医药卫生引用本文复制引用
杜育刚,曾杏梅,黎敏..急诊重症监护病房呼吸机相关性肺炎危险因素分析[J].中国全科医学,2012,15(21):2394-2396,3.
