摘要
Abstract
Objective To explore the risk factors of ventilator associated pneumonia (VAP) in children related to me-chanical ventilation,providing the valuable data for clinical diagnosis,treatment and prognosis. Methods The clinical data from 248 children patients undergoing mechanical ventilationfrom January 2008 to June 2012 in this hospital were divided into VAP-group(68 cases) and non-VAP group(180 cases),whose risk factors in the two groups were conducted single factor analysis. And the significant risk factors were considered into logistic regressive model analysis. Results The single factor analysis showed that nutrition condition,nutrition supporting method,procalciton in level,sputum scale,complicated primary lung diseases,coma,me-chanical ventilation time,glucocorticoids application were significantly associated,and it also demonstrated that the four risk fac-tors such asprocalcitonin level,sputumscale,mechanical ventilation time,glucocorticoids application were closely correlated to ventilator associated pneumonia. Conclusion For those with procalciton in level increased distinctively ,long mechanical ventila-tion time,much sputumand hardly elimination of sputum,glucocorticoids application,it should be given correspondent treatment to reduce the morbidity and mortality of ventilator associated pneumonia in child renpatients and improve prognosis conditions.关键词
肺炎,呼吸机相关性/通气机,机械/危险因素/预后/儿童Key words
Pneumonia,ventilator-associated/Ventilators,mechanical/Risk factors/Prognosis/Child
