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呼吸机相关肺炎的因素探讨与护理 被引量:18

The Factors and Nursing of Ventilator - associated Pneumonia
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摘要 目的 了解呼吸机相关肺炎的诊断标准,发生呼吸机相关肺炎的因素,并探讨其预防护理措施。方法 70例ICU病人全部使用机械通气辅助治疗,通过多因素分析,探讨呼吸机相关肺炎的致病因素,采取正确的气道管理,合理使用抗生素,加强口腔与气管切口护理,注意合理营养,做好环境管理等。结果 70例患者除因原发病病情恶化外,无一例因呼吸机相关肺炎而导致病情恶化,延误治疗,相反由于及时采取预防护理措施,使病人尽快脱离了呼吸机,从而缩短了住院时间,减轻了经济负担。结论 正确的气道管理,合理应用抗生素,良好的饮食护理等辅助治疗,能够降低呼吸机相关因素肺炎的发病率。 Objective To understand the diagnostic criteria of ventilator- associated pneumonia,and the factors to cause the ventilator - associated pneumonia and the prevention or nursing measures. Methods 70 patients in the ICU were all given mechanical ventilation, other measures like reviewing references, correct management of airway, using antibiotic and nutrition resonably. Results A-mong 70 cases, none became worse and delayed treatment due to ventilator - associated pneumonia except for primary diseases. Instead, the timely preventive nursing helped the patients to get rid of the ventilator as soon as possible, shorten the hospitalization, relieve the patients' economic burden. Conclusion Correct nursing of airway, reasonable use of antibiotic and good diet nursing can reduce the incidence of ventilator - associated pneumonia.
作者 田素霞
出处 《菏泽医学专科学校学报》 2003年第3期64-66,共3页 Journal of Heze Medical College
关键词 呼吸机相关肺炎 预防 控制 护理对策 ventilator - associated pneumonia/prevention and control nursing measures
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