护理干预对呼吸机相关性肺炎的疗效分析

摘要

Objeetlve To study influence of nursing intenrention on the occurrence of ICU severe patient ventilator-associated pneumonia(VAP).Methods 75 patients receiving mechanical ventilation were divided into nursing intervention group(n=35)and control group(n=40).In oontrol group,patients were given conventional nursing,while in nursing intervention group,patients were given nursing intervention and nursing measures were improved.Curative effects,occurrence of VAP and time of ventilation of two groups were compared.Results All indexes of blood and air of patients were improved within and between groups after ventilation(P<0.05).16 cases(21%) of VAP were found in nursing intervention group,which were significantly lower than 27 cases(36%) of VAP incontrol group(P<0.05).Conclusion During the time when severe patients were given mechanical ventilation,the implementation of improved numing intervention can reduce the occurrence of VAP.%目的 探讨护理干预对ICU重症患者呼吸机相关性肺炎(VAP)发生的影响.方法 将75例机械通气患者分为干预组35例和对照组40例.对照组按常规护理,干预组除实施常规护理外,改进了护理措施.比较两组治疗效果、VAP发生率.结果 通气前、后,组内、组间比较,各项血气监测指标均有改善(P＜0.05).干预组发生VAP9例(21%),对照组发生VAP20例(50%),干预组明显低于对照组(P＜0.05).结论 在危重患者机械通气治疗期间,实施改进的护理干预措施,有助于降低VAP发生率.