疑难病杂志Issue(5)：485-487,3.DOI:10.3969/j.issn.1671-6450.2014.05.014
肿瘤患者呼吸机相关性肺炎危险因素相关分析
Multivariate Logistic regression analysis of risk factors for ventilator associated pneumonia in oncology patients
刘艳屏 1王玉 1黄娅丽 1张江洲 1陶丹 1龙志雄1
作者信息
摘要
Abstract
Objective To investigate the risk factors for ventilator associated pneumonia ( VAP) in oncology patients and improve the clinical medical security .Methods 98 cancer patients with mechanical ventilation ventilator-assisted breat-hing, they were underwent mechanical ventilation >48 h, depend on whether the occurrence of ventilator-associated pneumoni-a infections for judging standards , these patients are divided into infected groups (30 cases) and non-infected group (68 ca-ses) .Using Univariate analysis to analyses the difference in ventilator-associated pneumonia risk factors between the two groups, and further analyzed independent risk factors of ventilator-associated pneumonia by Logistic regression .Results Uni-variate analysis showed that:infection group's age, duration of mechanical ventilation, use of steroids, unconsciousness, in-dwelling stomach tube, APACHEII score and supine position were higher than non-infected group ( P <0.05).Multivariate analysis showed that:infected group's age (OR=1.087,95%CI 1.018-1.161), duration of mechanical ventilation (OR=5.148,95%CI 1.342-19.743),indwelling stomach tube (OR=1.074,95% CI 1.011-1.141) and APACHEII score (OR =1.336,95%CI 1.130-1.580) were higher than those of non-infected group ( P <0.05).Conclusion Older age, long time of mechanical ventilation , indwelling gastric tube and high APACHEⅡ score were the independent risk factor of VAP.关键词
肿瘤患者/肺炎,呼吸机相关性/危险因素/Logistic回归分析Key words
Oncology patients/Ventilator associated pneumonia/Risk factors/Logistic regression analysis引用本文复制引用
刘艳屏,王玉,黄娅丽,张江洲,陶丹,龙志雄..肿瘤患者呼吸机相关性肺炎危险因素相关分析[J].疑难病杂志,2014,(5):485-487,3.
