ICU呼吸机相关性肺炎目标性监测效果分析

目的 观察目标性监测对ICU呼吸机相关性肺炎(VAP)的临床效果.方法 于我院ICU 2011年1月起对使用呼吸机的患者护理干预中实施目标性监测,随机抽取其中340例使用呼吸机的患者作为实验组；选择2010年ICU内使用常规护理干预的使用呼吸机患者340例作为对照组.比较两组患者呼吸机使用期间呼吸机相关性肺炎的发生率.结果 实验组呼吸机相关性肺炎感染率为8.69‰,对照组呼吸机相关性肺炎感染率为27.03‰,两组患者比较差异有显著性,P＜0.05.VAP感染以革兰氏阳性菌为主.结论 使用目标性监测对ICU呼吸机相关性肺炎的预防效果较好,值得在ICU工作中应用.

The effect of target monitoring for ventilator-associated pneumonia in ICU

Objective To observe the clinical effect of target monitoring of ventilator-associated pneumonia （ VAP ） in ICU. Methods Target monitoring was performed on the ICU patients receiving ventilation from January 2011; and 340 of the patients were randomly selected to the study group. 340 patients undergoing ventilatin in 2010 who received routine nursing intervention were enrolled to the control group. The incidence rate of ventilator-associated pneumonia was compared between the two groups. Results There was a significant difference in the incidence rate of ventilator- associated pneumonia between the study group and the control group （ 8.69%0 vs. 27.03%0, P〈 0.05 ）. The pathogens for VAP were mainly Gram-positive bacteria. Conclusions Use of target monitoring for ventilator-associated pneumonia in ICU has a better preventive effect and is worth of applying in ICU.