川北医学院学报2017，Vol.32Issue(2)：193-196,4.DOI:10.3969/j.issn.1005-3697.2017.02.011
96例综合ICU呼吸机相关事件监测及结果分析
Monitoring and outcome of ventilator-associated events in comprehensive ICU:A study of 96 cases
摘要
Abstract
Objective:To investigate the incidence of ventilator-associated events (VAE) in the comprehensive ICU of our hospital and explore appropriate monitoring and diagnostic methods for ventilator-associated pneumonia (VAP).Methods:Patients with mechanical ventilation in the comprehensive ICU of our hospital were investigated prospectively from April to December in 2013.Judgment was performed using the judgment criteria of VAE,and was compared with that performed using the current objective monitoring method of VAP.Results: A total of 96 cases were monitored,96 patients supported for 1544 ventilator-days,with 23 cases of ventilator-associated complications (VAC),the incidence of which was 14.89‰.Among the 23 cases of VAC,there were 7 cases of infection-related ventilator-associated complications (IVAC),the incidence of which was 4.53‰.Among the 7 cases of IVAC,there was 4 case suspected as VAP,the incidence of which was 2.59‰,and there was 0 cases diagnosed as VAP,the incidence of which was 0‰.Over the same period in 96 patients with primary VAP targeted monitoring program,12 cases of VAP was found,ventilator days was 1 544 D,the incidence of which was 7.76‰.Conclusion: The VAE monitoring method recommended by American CDC may have a low diagnostic sensitivity as a result of the condition of most microbiology laboratories in China,thus not appropriate to be widely used in China.Current VAP diagnostic method in China is simple and convenient,but more subjective factors may lead to diagnostic errors.Therefore,a VAP monitoring method that is more suitable to the condition of China should be explored.关键词
呼吸机相关事件/呼吸机相关肺炎/监测Key words
Ventilator-associated events/Ventilator-associated pneumonia/Monitoring分类
医药卫生引用本文复制引用
胡欣,李祖坤,张洪川,刘永芳..96例综合ICU呼吸机相关事件监测及结果分析[J].川北医学院学报,2017,32(2):193-196,4.基金项目
四川省教育厅科研项目(17ZB0164) （17ZB0164）
