集束化干预方法及预防呼吸机相关性肺炎的价值分析

目的探讨集束化干预方法及预防呼吸机相关性肺炎的临床价值。方法选择80例患者作为研究对象,分为两组,各40例,观察组采用集束化干预,对照组采用常规护理,比较两组的使用呼吸机时间、低氧血症改善时间及住院时间,呼吸机相关性肺炎、口腔溃疡、耐药菌感染的发生率及死亡率。结果观察组使用呼吸机时间、低氧血症改善时间及住院时间显著短于对照组,差异有统计学意义（P〈0.05）,呼吸机相关性肺炎、口腔溃疡、耐药菌感染发生率及死亡率显著低于对照组,差异有统计学意义（P〈0.05）。结论集束化干预能有效降低呼吸机相关性肺炎发生率,缩短住院时间,提高治疗效果。

Value analysis of bundle intervention and prevention of ventilator-associ-ated pneumonia

Objective To explore the clinical value of bundle intervention and prevention of ventilator-associated pneumonia. Methods 80 cases were selected and divided into two groups,40 cases in each group.The intervention group was used the bundle intervention,the control group was used usual care.The using time of breathing machine,the improvement time of hypoxemia and duration of hospitalization,the incidence of ventilator-associated pneumonia,mouth ulcers,drug-resistant bacteria infection and mortality was compared respectively. Results The using time of breathing machine,the improvement time of hypoxemia and duration of hospitalization of the intervention group was shorter than that of the control group,with significant difference（P〈0.05）.The incidence of ventilator-associated pneumonia,mouth ulcers,drug-resistant bacteria infection and mortality was lower than that of the control group,with significant difference（P〈0.05）. Conclusion Bundle intervention can effectively reduce the incidence of ventilator-associated pneumonia,shorten hospital stays and improve the therapeutic effect.