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目的探讨新生儿呼吸机相关性肺炎(VAP)的相关因素及采取的护理对策,以降低VAP的发生率。方法对我院2007年2月至2009年10月NICU(新生儿重症监护病房)内110例使用机械通气(MV)治疗的患儿进行回顾性分析研究。结果 110例MV患儿出现VAP有52例,发生率为47.27%,VAP患儿病死率为19.23%(10/52);胎龄、MV时间、卧位、MV前2周内使用抗菌药物等相关因素VAP组与无VAP组其VAP发生率具有显著差异(P<0.05)。结论新生儿VAP的发生与多种临床因素有关;针对其产生原因进行积极防治,并采取积极的护理措施,可有效降低VAP的发生率,并提高治愈率。
Objective To explore the related factors of neonatal ventilator-associated pneumonia (VAP) and the nursing countermeasures to reduce the incidence of VAP. Methods A retrospective analysis was performed on 110 children undergoing mechanical ventilation (MV) in NICU (neonatal intensive care unit) from February 2007 to October 2009 in our hospital. Results The incidence of VAP in 110 children with MV was 52 (47.27%) and the mortality rate of VAP children was 19.23% (10/52). The gestational age, MV time, supine position and the use of antimicrobial drugs within 2 weeks before MV Related factors VAP group and no VAP group had a significant difference in the incidence of VAP (P <0.05). Conclusion The incidence of neonatal VAP is related to many clinical factors. To prevent and control the causes of VAP and take active nursing measures can effectively reduce the incidence of VAP and improve the cure rate.