| 儿童重症监护室病人呼吸机相关性肺炎Logistic回归分析 |
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| 引用本文： | 冯升,成磊,匡秀兰,陆华,任素琴. 儿童重症监护室病人呼吸机相关性肺炎Logistic回归分析[J]. 护理研究, 2011, 25(22). DOI: 10.3969/j.issn.1009-6493.2011.22.008 |
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| 作者姓名： | 冯升 成磊 匡秀兰 陆华 任素琴 |
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| 作者单位： | 1. 上海交通大学医学院附属上海儿童医学中心,200127
2. 上海复旦大学护理学院,200032 |
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| 基金项目： | 上海交通大学医学院科技基金支持项目 |
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| 摘 要： | [目的]探讨儿童重症监护室(PICU)患儿呼吸机相关性肺炎(VAP)的发病情况和危险因素,为预防儿童VAP提供科学依据.[方法]对2007年1月-2008年12月在上海交通大学医学院附属儿童医学中心PICU应用机械通气超过48 h的患儿240例病史资料进行回顾性分析,先对可能的危险因素应用卡方检验进行单因素分析,筛选出有统计学意义的危险因素,再对主要危险因素采用多因素Binary Logistic回归分析.[结果]在240例患儿中有92例发生了VAP,发病率为38.3%;机械通气时间、留置胃管时间、存在原发肺部疾病、插管方式、再插管是引起VAP的危险因素,口腔护理为VAP保护因素.[结论]PICU患儿VAP发病率较高,机械通气时间、留置胃管时间、存在原发肺部疾病、插管方式、再插管和口腔护理为VAP影响因素;应针对VAP影响因素制定相应的护理干预措施.
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| 关 键 词： | 儿童重症监护室 呼吸机相关性肺炎 危险因素 Logistic回归分析 |
Logistic regression analysis on children with ventilator-associated pneumonia in pediatric intensive care unit |
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| Feng Sheng,Cheng Lei,Kuang Xiulan,et al. Logistic regression analysis on children with ventilator-associated pneumonia in pediatric intensive care unit[J]. Chinese Nursing Researsh, 2011, 25(22). DOI: 10.3969/j.issn.1009-6493.2011.22.008 |
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| Authors: | Feng Sheng Cheng Lei Kuang Xiulan et al |
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| Affiliation: | Feng Sheng,Cheng Lei,Kuang Xiulan,et al(Affiliated Shanghai Children's Medical Center of Shanghai Jiaotong University,Shanghai 200127 China) |
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| Abstract: | Objective:To probe into ventilator-associated pneumonia(VAP) incidence and risk factors of patients in pediatric intensive care unit(PICU),so as to provide scientific evidences for prevention of children VAP.Methods: A retrospective analysis was carried out for 240 cases history data of children who accepted mechanical ventilation for more than 48 hours in PICU in affiliated children's medical center of Shanghai Jiaotong university from January 2007 to December 2008.Firstly the possible risk factors were ca... |
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| Keywords: | pediatric intensive care unit ventilator-associated pneumonia risk factors Logistic regression analysis |
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