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目的:分析ICU呼吸机相关性肺炎的危险因素,为临床预防呼吸机相关性肺炎提供建议。方法:选取2009年10月~2013年3月我院ICU病房发生呼吸机相关性肺炎患者共57例为研究对象,随机选取同期ICU病房未发生呼吸机相关性肺炎患者57例作为对照组,比较2组患者的情况,分析CU呼吸机相关性肺炎的危险因素。结果:观察组平均年龄59.28±4.76岁;白蛋白30.94士2.45g/L;误吸率为33.33%;应用糖皮质激素率为54.38%;抗酸剂率为64.91%;预防应用抗生素率为50.88%;呼吸机应用时间15.34士4.67天,与对照组比较,有显著性差异。结论:年龄、白蛋白低下、误吸、应用糖皮质激素、应用抗酸剂及预防应用抗生素等均为ICU呼吸机相关性肺炎的危险因素,建议临床深入研究。
Objective: To analyze the risk factors of ventilator-associated pneumonia in ICU and provide suggestions for clinical prevention of ventilator-associated pneumonia. Methods: A total of 57 patients with ventilator-associated pneumonia who developed ICU ward in our hospital from October 2009 to March 2013 were selected as the research object. Fifty-seven patients with ventilator-associated pneumonia who did not develop ICU during the same period were randomly selected as the control group. Two groups of patients were analyzed for risk factors associated with CU ventilator-associated pneumonia. Results: The average age of the observation group was 59.28 ± 4.76 years; albumin 30.94 ± 2.45g / L; the rate of aspiration was 33.33%; the rate of glucocorticoid was 54.38%; the rate of antacid was 64.91%; the rate of antibiotics for prevention was 50.88 %; Ventilator application time 15.34 ± 4.67 days, compared with the control group, there are significant differences. Conclusion: Age, low albumin, aspiration, glucocorticoid, antacids and prophylactic antibiotics are the risk factors of ICU ventilator-associated pneumonia. It is suggested that clinical study should be conducted in depth.