發(fā)布時(shí)間：2018-05-30 18:33

  本文選題：歲 + 老年患者�。� 參考：《中華醫(yī)院感染學(xué)雜志》2016年23期

【摘要】：目的評(píng)價(jià)60歲老年患者呼吸機(jī)相關(guān)性肺炎(VAP)的發(fā)病因素,為臨床治療提供參考依據(jù)。方法系統(tǒng)檢索萬(wàn)方、CNKI、維普、谷歌學(xué)術(shù)上已公開(kāi)發(fā)表的中文文獻(xiàn);手動(dòng)檢索相關(guān)雜志、專業(yè)信息及網(wǎng)絡(luò)資料,數(shù)據(jù)采用RevMan 5.3進(jìn)行mata分析。結(jié)果共納入6項(xiàng)研究,總樣本量為951例;多因素分析顯示,慢性呼吸病史、APACHE-Ⅱ評(píng)分、氣管插管次數(shù)、氣管插管時(shí)間、住院時(shí)間、吸痰次數(shù)等是老年患者VAP的獨(dú)立危險(xiǎn)因素(P0.05),臥位(抬高床頭30°)為保護(hù)性因素(P0.05)。結(jié)論年齡、既往吸煙史、慢性呼吸病史、糖尿病史、APACHE-Ⅱ評(píng)分、低血清白蛋白、意識(shí)障礙、氣管插管次數(shù)、氣管插管時(shí)間、住院時(shí)間、留置胃管時(shí)間、吸痰次數(shù)、使用制酸劑為60歲老年患者發(fā)生VAP的危險(xiǎn)因素,臥位(抬高床頭30°)為保護(hù)性因素。
[Abstract]:Objective to evaluate the risk factors of ventilator-associated pneumonia (VAP) in 60 years old patients and to provide reference for clinical treatment. Methods Chinese literature published by Google was searched systematically, and related journals, professional information and network data were searched manually. The data were analyzed by mata with RevMan 5.3. Results the total sample size of 951 patients was 951. Multivariate analysis showed that chronic respiratory history was assessed with Apache 鈪，

本文編號(hào)：1956342