呼吸机集束干预策略在预防ICU呼吸机相关性肺炎中的应用

摘要

目的：探讨呼吸机集束干预策略（ VCB）在预防ICU呼吸机相关性肺炎中的应用效果。方法：将120例本院ICU患者按照进入科室顺序编号，奇数为实验组（n=60），按照呼吸机集束干预策略进行护理；偶数为对照组（n=60），实施常规护理；比较两组MV时间、住院时间、VAP发生率，并记录相关护理措施执行情况。结果：实验组在患者MV时间、住院时间、VAP发生率低于对照组（P<0.05）。当患者胃液pH值>4及胃残留量>200 ml时，其发生VAP的可能性增加。结论：（VCB）比常规护理更利于预防呼吸机相关性肺炎的发生，值得在临床进一步应用。%Objective:To investigate the effect of application of the bundle of intervention strategies in the prevention of ventilator asso-ciated pneumonia(VAP)in ICU patients. Methods:120 patients in ICU of the hospital were divided into the experimental group(n=60) and the control group(n=60)according to the sequence number. The patients in the experimental group were provided the bundle of inter-vention strategies and the patients in the control groups were given routine nursing care. The duration of mechanical ventilation,hospitaliza-tion time and the incidence of VAP were compared between the two groups. Results:The duration of MV,hospitalization time and the inci-dence of VAP were shorter and less in the experimental group than the control group(P<0. 05). Conclusion:The bundle of intervention strategies is more conducive to the prevention of VAP than routine nursing care.