| 应用呼吸机干预体系预防呼吸机相关性肺炎的临床研究 |
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| 引用本文： | 郭珊,彭华,于丰彦,乡志忠,邹小宁,张丽丽,王晓晖.应用呼吸机干预体系预防呼吸机相关性肺炎的临床研究[J].国际医药卫生导报,2011,17(8):911-914. |
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| 作者姓名： | 郭珊 彭华 于丰彦 乡志忠 邹小宁 张丽丽 王晓晖 |
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| 作者单位： | 郭珊,邹小宁,张丽丽,王晓晖(广州中医药大学祈福医院,广州,511495);彭华(汕头大学医学院第二附属医院,汕头,515041);于丰彦(南方医科大学珠江医院,广州,510280);乡志忠(上海康程医院管理咨询有限公司,200023) |
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| 基金项目： | 广州市番禺区科技局科研课题 |
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| 摘 要： | 目的 以减少VAP的发生为最终目的,研究呼吸机干预体系预防VAP的有效性.方法 我院重症监护室（ICU）2009年1月-2010年6月收治的行机械辅助通气治疗的患者,随机分为呼吸机干预体系组（实验组）和常规医疗护理组（对照组）,以VAP感染率、机械通气时间、ICU住院时间、病死率及抗生素费用为观察指标,评价呼吸机干预体系的实施效果.结果 实施呼吸机干预体系可明显降低VAP的感染率（4.21‰ vs 17.49‰,P=-0.039）且缩短住院时间（12.49日vs 17.20日,P=O.005）和持续通气时间（8.65日vs 10.66日,P=0.027）,两组比较差异均有显著性.结论 呼吸机干预体系是顶防VAP的发生、节约医疗资源、保证病人安全的最佳策略.
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| 关 键 词： | 呼吸机相关性肺炎 呼吸机干预体系 机械通气 |
The clinical research on the use of 'Ventilator Bundle' to prevent ventilator-associated pneumonia (VAP) |
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| Institution: | GUO Shan, PENG Hua ,YU Feng-yan,et al (Clifford Hospital of Guangzhou TCM University, Guangzhou 511495, China) |
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| Abstract: | Objective To reduce the incidence of VAP and evaluate the effectiveness of 'Ventilator Bundle'. Methods Selected these ICU patients, who received mechanical ventilation and were admitted from Jan. 2009 to Jun. 2010, and randomly divided them into ventilator bundle group (Experimental Group) and routine medical care group (Control Group). The research would use VAP infection rate,ventilation time, ICU stay, morbidity and mortality and antibiotic cost to evaluate the effectiveness of Ventilator Bundle. Results The Ventilator Bundle can obviously reduce VAP infection rate (4.21% vs 17.49‰, P=0.039), ICU stay (12.49 days vs 17.20 days, P=0.005) and ventilation time (8.65 days vs 10.66 days, P=0.027). Conclusion Ventilator Bundle is the best strategy to prevent the incidence of VAP,save medical resources and protect the safety of patient. |
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| Keywords: | Ventilator-Associated Pneumonia Ventilator Bundle Mechanical Ventilation |
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