新生儿呼吸机相关肺炎的临床分析

目的分析新生儿呼吸机相关性肺炎（VAP）的特点和危险因素,探讨降低VAP发病率的预防措施。方法采用回顾性调查手段,分析引起新生儿VAP的危险因素。结果新生儿VAP发病率为36.46%,新生儿VAP与胎龄、出生体质量、多次插管、机械通气时间和肺泡表面活性物质使用等有明显关系;主要病原菌为革兰氏阴性杆菌。结论早产儿、低出生体质量儿、多次插管、机械通气时间是新生儿VAP的危险因素,而肺泡表面活性物质使用是新生儿VAP的保护因素。采用对应措施和使用肺泡表面活性物质可以降低新生儿VAP发生率。

Analysis of ventilator-associated pneumonia of newborns

Objective To analyse the characteristics and risk factors of the newborn's ventilator-associated pneumonia(VAP).The preventive measures are done to decreasing the rate of VAP.Methods Retrospective investigation was done to analyses the factor of the newborn's VAP.Results The incidence rate of the newborn's VAP was 36.46%.VAP was obviously associated with gestational age,birth weight,multiple tracheal cannula,time of mechanic ventilation and alveolar surfactant usage.The main pathogenic bacteria was Gram-Neg...