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目的探讨重症监护室呼吸机相关性肺炎(ventilator associated pneumonia,VAP)的危险因素,并提出相应的护理对策。方法回顾性统计182例行机械通气治疗患者的临床资料,按非VAP与VAP组分别分析其致病的相关危险因素以及观察采取相应护理对策后其疗效。结果经统计,引发重症监护室呼吸机相关性肺炎的危险因素主要是基础疾病、机械通气时间、药物使用与侵入性操作等。采用相应护理对策后,患者的不良反应与症状得到了较好地改善。结论树立科学完善的管理理念,加强呼吸道的管理不仅有助于提高医院的风险防控管理水平,对提高呼吸机相关性肺炎患者的护理质量也有极其重要的意义。
Objective To explore the risk factors of ventilator - associated pneumonia (VAP) in intensive care unit and to propose corresponding nursing measures. Methods The clinical data of 182 patients with mechanical ventilation were retrospectively analyzed. The risk factors of pathogenicity were analyzed respectively by non-VAP and VAP groups, and the curative effect was observed after corresponding nursing measures were taken. Results The statistics showed that the risk factors of ventilator-associated pneumonia in intensive care unit were mainly basic diseases, mechanical ventilation time, drug use and invasive operation. Adoption of appropriate nursing strategies, patients with adverse reactions and symptoms have been better improved. Conclusion Establishing a scientific and perfect management concept and strengthening the management of the respiratory tract not only help to improve the risk prevention and management level of the hospital, but also have great significance in improving the quality of nursing care for patients with pneumonia associated with ventilator.