两种体位护理对呼吸机相关性肺炎发病率和临床预后的影响对比

摘要

Objective To investigate the postural care programs analyze dif erent ef ects on ventilator-associated pneumonia incidence and clinical outcome.Methods January 2013-January 2015 ventilator patients in our hospital,180 cases were randomly divided into two groups,each 90 cases,A group:semi-recumbent posture care;Group B:rotation posture care.Were observed incidence of ventilator time and length of ICU stay.Results The semi-recumbent posture care group incidence of 15.6%incidence of rotational position of care group was 4.4%rotational position ventilator care group was significantly lower than the incidence of pneumonia in a semi-recumbent position care group;a semi-recumbent position care group ventilator time was 12.3±1.23d,length of stay was 11.45±1.02d, rotational position ventilator care group time to 5.43±0.23d,length of stay was 5.19±0.56d,two sets of data significantly dif erent statistical y significance, <0.05.Conclusion Both postural care programs can reduce the incidence of ventilator-associated pneumonia rates,improve patient outcomes.%目的探讨分析不同体位护理方案对呼吸机相关性肺炎（VAP）发病率和临床预后的影响。方法选取2013年1月~2015年1月我院呼吸科收治的呼吸机通气患者180例，随机分成两组，每组各90例，A组：半卧位体位护理；B组：转动体位护理。观察两组患者的VAP的发病率、呼吸机使用时间以及住院时间。结果半卧位体位护理组VAP的发病率为15.6%，转动体位护理组VAP发病率为4.4%，转动体位护理组VAP发病率明显低于半卧位体位护理组；半卧位体位护理组呼吸机使用时间为（12.3±1.23）d，住院时间为（11.45±1.02）d，转动体位护理组吸机使用时间为（5.43±0.23）d，住院时间为（5.19±0.56）d，两组数据差异显著，具有统计学意义，<0.05。结论两种体位护理方案均可降低VAP发病率，改善患者预后。