【摘要】：目的探討心臟外科ICU患者發(fā)生呼吸機相關性肺炎的危險因素,為其臨床防治提供依據(jù)。方法回顧性調查120例入住醫(yī)院心臟外科ICU患者的臨床資料,記錄全部患者的基本信息;根據(jù)其是否發(fā)生呼吸機相關性肺炎分為感染組與未感染組,應用多因素回歸分析進行多因素分析。結果 120例ICU患者中有20例發(fā)生呼吸機相關性肺炎,發(fā)生率為16.7%;單因素分析結果顯示:年齡≥60歲、昏迷、患有慢性阻塞性肺疾病、糖尿病史、白蛋白水平及住院時間與呼吸機相關性肺炎的發(fā)生存在相關性,兩組比較差異有統(tǒng)計學意義(P0.05);多因素分析結果表明:年齡≥60歲、患有慢性阻塞性肺疾病、白蛋白水平低下及住院時間延長是呼吸機相關性肺炎發(fā)生的獨立危險因素(P0.05)。結論心臟外科ICU呼吸機相關性肺炎的發(fā)生隨著患者年齡的增加、白蛋白水平的低下及住院時間的較長,其發(fā)生率較高,在臨床工作中對該類危險因素需進行必要的干預。
[Abstract]:Objective to investigate the risk factors of ventilator-associated pneumonia in ICU patients in cardiac surgery and to provide evidence for its clinical prevention and treatment. Methods the clinical data of 120 patients with ICU in cardiac surgery were retrospectively investigated and the basic information of all patients was recorded. Patients with ventilator-associated pneumonia were divided into infected group and non-infected group. Multivariate regression analysis was used. Results among the 120 patients with ICU, 20 had ventilator-associated pneumonia (16. 7%). Univariate analysis showed that age 鈮，

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