目的：探讨强化气道管理在预防呼吸机相关性肺炎（Ventilator Associated Pneumonia，VAP）中的作用。方法将140例机械通气的患儿随机分成2组，每组70例，强化组按照强化气道管理方法进行气道管理，对照组常规气道管理，将治疗结果进行比较。结果强化组VAP发生8例，发生率11.4%，对照组VAP发生24例，发生率34.3%。强化组机械通气治疗时间为（7.5±2.5）d，对照组机械通气治疗时间为（11.5±3.0）d，两组结果对比，差异有统计学意义（P＜0.05）。结论强化气道管理可降低VAP的发生率。%Objective To investigate the value of enhanced artificial airway care in prevention of ventilator associated pneumonia.Methods 140 patients were randomly divided into two groups and analyzed by prospectively each group had 70 cases. The enhanced group were enhanced artiifcial airway care. And comparied the results with control group.Results The incidence rate of ventilator associated pneumonia of enhanced group and control group was 8 (11.4%) and 24 (34.3%). The time of ventilator therapy of enhanced group was (7.5±2.5) d, and the time of ventilator therapy of control group was (11.5±3.0) d. The results of enhanced group and control group had signiifcant difference (P<0.05).Conclusion Enhanced artiifcial airway care can reduce the incidence rate of ventilator associated pneumonia.
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