中国医学前沿杂志(电子版)2017,Vol.9Issue(11):94-97,4.DOI:10.12037/YXQY.2017.11-19
ICU老年患者呼吸机相关性肺炎危险因素分析
Analysis of the risk factors of ventilator associated pneumonia in elderly patients of ICU
摘要
Abstract
Objective To investigate the risk factors of ventilator associated pneumonia (VAP) in elderly patients of ICU.Method Retrospectively analyzed the clinical data of 112 elderly patients hospitalized in ICU in our hospital from January 2014 to December 2016 with mechanical ventilation. Analyzed the risk factors of VAP in elderly patients of ICU.Result 112 cases of elderly patients, VAP occurred in 28 cases (25.00%). Multivariate Logistic regression analysis showed that: acute physiology and chronic health evaluationⅡ score≥ 15 points, tracheal intubation/incision, ICU length of stay≥ 15 days, the time of mechanical ventilation≥ 7 days, long-term use of proton pump inhibitors, serum albumin level< 35 g/L, the oxygenation index< 400 mmHg were the risk factors of VAP in elderly patients of ICU (P<0.05).Conclusion There are many risk factors for VAP in ICU elderly patients. Based on the related risk factors, effective preventive measures should be taken to reduce the incidence of VAP.关键词
ICU/老年/呼吸机相关性肺炎/危险因素Key words
ICU/Advanced age/Ventilator associated pneumonia/Risk factors引用本文复制引用
马晶,马艳琼,谢秀华..ICU老年患者呼吸机相关性肺炎危险因素分析[J].中国医学前沿杂志(电子版),2017,9(11):94-97,4.基金项目
新疆医科大学第一附属医院自然科学基金项目(2014ZRQZ12) (2014ZRQZ12)