摘要
目的探讨呼吸机相关性肺炎发病的危险因素。方法回顾性分析机械通气治疗患者200例的临床资料,统计发生呼吸机相关性肺炎比例,分析发生呼吸机相关性肺炎的危险因素。结果 63例发生呼吸机相关肺炎。呼吸机相关肺炎患者平均年龄、BMI、APACHEⅡ评分显著高于对照组,平均机械通气时间显著长于对照组,吸烟史、头部仰卧位、侵入性操作、使用糖皮质激素、使用抗酸剂、慢性肺疾病病史的比例显著高于对照组(P<0.01)。多因素分析结果显示,APACHEⅡ评分、机械通气时间、头部仰卧位、高龄、使用抗酸剂是呼吸机相关性肺炎发病的独立危险因素(P<0.05)。结论 APACHEⅡ评分高、机械通气时间长、高龄、头部仰卧位、使用抗酸剂的患者发生呼吸机相关性肺炎的风险较大。
Objective To discuss risk factors of ventilator-associated pneumonia. Methods Clinical data of 200 cases with mechanical ventilation were respectively analyzed. Risk factors of ventilator-associated pneumonia were analyzed. Results Sixty-three cases occurred ventilator-associated pneumonia. Age, BMI, APACHEⅡ score of ventilator-asso- ciated pneumonia group were higher than control group. The average mechanical ventilation time was longer, and the proportions of smoking history, the head of the supine position, invasive procedures, using of corticosteroids, using of antacids, a history of chronic lung disease were higher than control group（P〈0.05）. Logistic regression analysis showed APACHE Ⅱ score, duration of mechanical ventilation, the head of the supine position, the elderly, the use of antacids were independent risk factors for ventilator-associated pneumonia. Conclusion Mechanical ventilation patients with high APACHE Ⅱ, long mechanical ventilation time, advanced age, the head of the supine position, using of antacids are high risk of ventilator-associated pneumonia.
出处
《中国现代医生》
2015年第17期82-84,共3页
China Modern Doctor
