| ICU医院获得性肺炎危险因素分析及护理 |
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| 引用本文： | 张建霞,孙玉梅,王广发,乔文颖. ICU医院获得性肺炎危险因素分析及护理[J]. 中国护理管理, 2010, 10(7): 63-65 |
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| 作者姓名： | 张建霞 孙玉梅 王广发 乔文颖 |
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| 作者单位： | 1. 北京大学第一医院呼吸内科监护室,100034
2. 北京大学护理学院内外科教研室 |
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| 摘 要： | 目的:通过研究呼吸重症监护病房(RICU)医院获得性肺炎(HAP)的发病危险因素,为制定护理措施提供科学依据。方法:采用回顾性研究方法对2008年1月至2009年12月某"三甲"医院RICU收治2天以上的192例患者的病历记录进行查阅。结果:192例患者中,发生HAP者52例(27.1%),未发生HAP者140例(72.9%);多因素Logistic回归分析显示,RICU医院获得性肺炎发生的独立危险因素有:高龄、APACHEⅡ评分15、机械通气、联合使用2种以上抗生素。结论:RICU医院获得性肺炎的发生是多种因素共同作用的结果,应针对不同的影响因素及时实施全面护理干预。
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| 关 键 词： | 医院获得性肺炎 危险因素 重症监护病房 护理 |
A retrospective study on risk factors of hospital acquired pneumonia in respiratory intensive care unit |
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| Affiliation: | ZHANG Jian-xia, SUN Yu-mei, WANG Guang-fa, et al( Peking University First nospital, Beijing, 100034 China) |
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| Abstract: | Objective：To study the risk factors of Hospital Acquired Pneumonia（HAP）in Respiratory Intensive Care Unit （RICU）.Methods： A retrospective study on HAP was carried out on patients hospitalized in RICU from Jan.2008 to Deck2009. Results： 192 patients were enrolled, among them 52 （2Z1%） were diagnosed as HAP and 140 （72.9%） were not. The multi-factorial logistic regression demonstrated that age, APACHE lI scores〉5, mechanic ventilation, using over two types of antibiotics were the independent dsk factors for HAE Conclusion： Multi-various factors contributed to HAP in RICU. Prevention and control should be comprehensive. |
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| Keywords: | hospital acquired pneumonia risk factor intensive care unit nursing |
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