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机械通气相关肺炎危险因素分析
引用本文:陈薅,陈维进.机械通气相关肺炎危险因素分析[J].中华医院感染学杂志,2000,10(2):84-85.
作者姓名:陈薅  陈维进
作者单位:湖北省黄石市中心医院!湖北黄石435000
摘    要:目的 探讨机械通气相关肺炎(VAP)的危险因素。方法 选取内科ICU、外科ICU、CCU爱气时间在24小时以上194例患者,符合VAP诊断标准作为BVAP感染组,VAP未感染组作为对照组,采用单因素分析与多因素分析分别得出VAP危险因素、独立危险因素。结果 VAP的感染发生率为27.84%,单因素分析表明慢性肺疾病、先前使用的抗生纱,气管造口术、急诊手术、机械通气患者仰卧位、鼻胃管、肺动脉插管、胃

关 键 词:机械通气  肺炎  危险因素  医院内感染

Analysis of the Risk Factors for Ventilator Associated Pneumonia
CHEN Hao,CHEN Wei jin.Analysis of the Risk Factors for Ventilator Associated Pneumonia[J].Chinese Journal of Nosocomiology,2000,10(2):84-85.
Authors:CHEN Hao  CHEN Wei jin
Abstract:OBJECTIVE To investigate the risk factors relaled to the development of ventilatior associated pneumonia (VAP).METHODS A total of 194 patients required mechanical ventilation for longer than 24 hours from the medical ICU, surgical ICU or cardiothoracic ICU were analized. Comparisosn between groups of VAP and non VAP were made by unifactor analysis and multifactor analysis of logistic regression. RESULTS The incidental rate of VAP was 27.84%. Chronic lung discase, prior antibiotics, supine head posfure and the patient age of more than 60 years were independently associated facfors with VAP. The different ICU patients had different inciednces of VAP. CONCLUSION The results suggest that to avoid risk fctors may be the effeetive measue in lowering the incident rate of VAP.
Keywords:Ventilator  associated pneumonia  Risk factors  Hospifal infection
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