本文選題：重癥監(jiān)護病房 + 老年患者��； 參考：《中國消毒學雜志》2017年10期

【摘要】：目的了解醫(yī)院急診重癥監(jiān)護病房老年患者呼吸機相關肺炎(VAP)發(fā)生率及其危險因素,為實施針對性的干預措施提供依據(jù)。方法回顧性調(diào)查某醫(yī)院急診重癥監(jiān)護病房接受氣管插管機械通氣的老年患者VAP發(fā)生情況,對相關因素進行分析。結(jié)果共調(diào)查使用呼吸機的老年患者398例,發(fā)生VAP102例,VAP發(fā)生率為25.63%。多因素Logistic分析顯示,年齡70歲、合并慢性肺疾病病史、昏迷、機械通氣時間≥7 d、誤吸物、應用糖皮質(zhì)激素≥7 d及脫機失敗后再次行氣管插管等因素為急診重癥監(jiān)護病房老年患者呼吸機相關肺炎發(fā)生的危險因素(OR1,P0.05)。結(jié)論急診重癥監(jiān)護病房使用呼吸機的老年患者呼吸機相關肺炎發(fā)生率較高,危險因素復雜,應采取針對性防控措施。
[Abstract]:Objective to investigate the incidence and risk factors of ventilator-associated pneumonia (VAP) in elderly patients in emergency intensive care unit (EICU) in hospital. Methods the incidence of VAP in elderly patients undergoing endotracheal intubation mechanical ventilation in an emergency intensive care unit of a hospital was investigated retrospectively and the related factors were analyzed. Results the incidence of VAP was 25.63 in 102 elderly patients with VAP. Multivariate logistic analysis showed that the age was 70 years old, complicated with history of chronic lung disease, coma, mechanical ventilation time 鈮，

本文編號：2084081