摘要
目的探讨改良式体位与呼吸机相关性肺炎(VAP)发生率的关系。方法将155例机械通气患者随机分成对照组与试验组,对照组采用常规体位(即以患者舒适为依据,有仰卧位、侧卧位或床头抬高角度<30度的不规范半卧位),试验组采用改良式体位,比较两组VAP发生率。结果对照组机械通气患者发生呼吸机相关性肺炎(50.68%)明显高于试验组(28.04%),差异有统计学意义。结论改良式体位是预防呼吸机相关性肺炎有效方法 。
OBJECTIVE METHODS To study the relation between improved body position and incidence of ventilator-associated pneumonia （VAP）. METHODS Total 155 patients under mechanical ventilation were randomly divided into（MV） into control group and experimental group, patients in control group lied in normal position （i. e. supine position, sidelying or semi-reclining position with head-of-bed elevation 〈30° adopted to the patient＇s comfort level） and patients in experimental group lie in improved position. Compare the incidence of VAP of two groups. RESULTS The incidence of VAP of MV patients of the control group was obviously higher than that of the experimental group and the difference was significant. CONCLUSIONS Improved body position is an effective method to prevent VAP.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2010年第12期1690-1691,共2页
Chinese Journal of Nosocomiology
基金
浙江省海盐县2009年度科技计划一般项目(2009Y3B2004)
关键词
改良式体位
机械通气
呼吸机相关性肺炎
Improved body position
Mechanical ventilation
Ventilator-associated pneumonia
