摘要
目的研究集束化治疗预防呼吸机相关性肺炎(VAP)的有效性。方法选取机械通气>48小时的患者,2014年6月至2015年5月为对照组,2015年6月至2016年5月为集束化治疗组。观察两组患者的VAP的发生率,机械通气时间,ICU住院时间及迟发性VAP发生率。结果 VAP发生率对照组为47.22%,集束化治疗组为23.81%,两者之间有统计学差异(P=0.035);机械通气时间,对照组为11.03±4.87天,集束化治疗组为9.02±3.75天,两者之间有统计学差异(P=0.044);ICU住院时间对照组为15.17±5.96天,集束化治疗组为12.81±4.59,两者之间无统计学差异(P=0.052);迟发性VAP对照组为82.35%,集束化治疗组为50%,两者之间无统计学差异(P=0.102)。结论集束化治疗可有效预防VAP的发生。
Objective To study the effectiveness of bundle therapy in preventing ventilator associated pneumonia. Methods Patients with mechanical ventilation more than 48 hours were included in our study and divided into two groups. The patients from June 2014 to May 2015 was the control group,and from June 2015 to May 2016 was the therapy group. The incidence of VAP,MV duration,ICU stay and late-onset VAP of the two groups were studied. Results The incidence of VAP was 47. 22% in the control group and 23. 81% in the therapy group( P =0. 035). MV duration was 11. 03 ± 4. 87 days in the control group and 9. 02 ± 3. 75 days in the bundle therapy group( P = 0. 044). ICU stay was 15. 17 ± 5. 96 days in the control group and 12. 81 ± 4. 59 days in the bundle therapy group( P = 0. 052). Late-onset VAP was 82. 35% in the control group and 50% in the bundle therapy group( P =0. 102). Conclusion Bundle therapy can prevent ventilator associated pneumonia effectively.
作者
李晓东
孙艳辉
郝伟佳
张翠苹
杨鹏
LI Xiao-dong;SUN Yan-hui;HAO Wei-jia;ZHANG Cui-ping;YANG Peng(Beijing Mentougou District Hospital,Beijing 102300,China)
出处
《临床肺科杂志》
2018年第1期60-62,共3页
Journal of Clinical Pulmonary Medicine
关键词
呼吸机相关性肺炎
集束化治疗
机械通气
ventilator associated pneumonia
bundle therapy
mechanical ventilation
