呼吸机相关肺炎的发生原因及护理对策探讨

目的　为进一步探讨发生呼吸机相关肺炎的因素和护理措施。方法　对 70例使用机械通气辅助治疗的重症监护病房 (ICU)病人 ,取深部痰液进行细菌培养与分离及药敏试验 ,并采用综合护理措施。结果　 70例患者除 4例因原发病病情恶化死亡外 ,无一例因呼吸机相关肺炎而导致病情恶化 ,延误治疗 ,且缩短了住院时间。结论　正确的气道管理 ,合理应用抗生素 ,良好的饮食护理等辅助治疗 ,能够降低呼吸机相关因素肺炎的发病率

On Factors and Nursing of Ventilator-associated Pneumonia

Objective To understand the diagnostic criteria of ventilator-associated pneumonia,the factors to cause the ventilator-associated pneumonia and the preventive and nursing measures.Methods 70 patients in the ICU were treated with mechanical ventilator, and bacteria culture and detachment were made with deep phlegm, medicine allergic experiment was done,comprehensive nursing measures were taken.Rsesults Among 70 cases, none became worse and delayed treatment due to ventilator-saociated pneumonia except 4 cases with primary diseases died from deterioration,and the timely preventive nursing helped the patients , shorten the hospitalization, relieve the patients .Conclusions Correct nursing of airway,reasonable use of antibiotic and good diet nursing can reduce the incidence of ventilator-associated pneumonia.