颅脑外伤患者呼吸机相关肺炎的危险因素及非药物性护理

目的探讨颅脑外伤患者呼吸机相关肺炎发生的相关因素，为临床危重患者的非药物性预防护理提供依据。方法回顾性调查重症监护病房颅脑外伤行机械通气患者的相关临床资料，采用χ^2检验，分析呼吸机相关肺炎的相关因素。结果机械通气患者300例，发生呼吸性相关肺炎患者164例，发生率为54．66％；不同年龄、原发肺部疾病、机械通气时间、胃内容物吸入等呼吸性肺炎的发生率不同（P〈0．01）。结论颅脑外伤行机械性通气患者易发生呼吸性相关肺炎，且直接影响预后，经过采取非药物性预防护理措施，控制易患因素，有效降低呼吸性相关肺炎的发生。

Risk Factors and Non-drug Care Traumatic Brain Injury Patients with Ventilator-associated Pneumonia

Objective：To explore the risk factors of patients with traumatic brain injury picked ventilator-associated pneumonia and provide a basis for preventive care. Methods：Retrospective investigation intensive care unit head trauma patients with mechanical ventilation-related clinical data,and use chi-squre test to analyze the correlalive factors of Ventilator-associated pneumonia. Results： Mechanical ventilation in patients with 300 cases, 164 cases occurred in patients with VAP,the incidence was 54.66%;VAP occurs with age,primary pulmonary disease, mechanical ventilation time,inhalation of stomach eontents（p〈0.01）.Conclusion：Brain trauma patients with mechanical ventilation prone VAP,and a direct impact on the prognosis,after taking care of non-drug-prevention measures to control risk factors,to effectively reduce the incidence of VAP.