北京大学医学部机构知识库
Advanced  
IR@PKUHSC  > 北京大学第三临床医学院  > 急诊科  > 期刊论文
学科主题: 急诊医学
题名:
EICU呼吸机相关性肺炎临床危险因素分析
其他题名: Clinical risk factors for ventilator-associated pneumonia in EICU
作者: 张玉梅; 郑亚安; 郭治国; 葛洪霞; 马青变
关键词: 急诊重症监护病房 ; 呼吸机相关性肺炎 ; 危险因素 ; logistic回归分析 ; Emergency intensive care unit ; Ventilator-associated pneumonia ; Risk factor ; Logistic regression anal-y sis
刊名: 中华医院感染学杂志
发表日期: 2015
DOI: 10.11816/cn.ni.2015-144115
期: 17, 页:3949-3951
收录类别: 中国科技核心期刊 ; 中文核心期刊 ; CSCD
文章类型: Journal Article
摘要: 目的:探讨急诊重症监护病房(EICU)呼吸机相关性肺炎(VAP)的危险因素,以期提高VAP的预防水平。方法对2009年5月-2014年4月758例呼吸机机械通气(MV)患者的临床资料与病原菌资料进行回顾性分析;采用SPSS18.0软件进行统计分析。结果758例MV患者中发生VAP176例,发生率为23.2%;单因素分析发现,年龄、机械通气时间、EICU停留时间、留置胃管、再插管、紧急插管、贫血、低白蛋白血症、电解质紊乱、昏迷、原发性肺部疾病、恶性肿瘤、APACHEⅡ评分、抑酸剂的使用、镇静剂的使用、二~四代头孢类药物的使用与VAP的发生具有相关性(P<0.05);多因素logistic回归分析发现,APACHEⅡ评分≥18、紧急插管、机械通气时间≥5d、原发性肺部疾病、抑酸剂的使用为发生VAP的独立危险因素。结论积极改善患者整体情况、减少不必要的紧急插管、缩短机械通气时间、减少抑酸剂的使用等措施可能降低VAP的发生。 OBJECTIVE To explore the risk factors for ventilator‐associated pneumonia (VAP) in emergency inten‐sive care unit (EICU) so as to improve the level of prevention of VAP .METHODS The clinical data of 758 patients who underwent the mechanical ventilation from May 2009 to Apr 2014 were retrospectively analyzed ,the data of the pathogens were observed ,and the statistical analysis was performed with the use of SPSS 18 .0 software . RESULTS Of the 758 patients undergoing the mechanical ventilation ,176 had VAP with the incidence rate of 23 .2% .The univariate analysis showed that the incidence of VAP was associated with the age ,mechanical ventila‐tion duration ,length of EICU stay ,gastric tube indwelling ,reintubation ,emergency intubation ,anemia ,hy‐poalbuminemia ,electrolyte disturbance ,coma ,primary pulmonary disease ,malignant tumor ,APACHEⅡ score , use of antacids ,use of sedatives ,and use of second ,third ,and fourth generations cephalosporins (P<0 .05) .The multivariate logistic regression analysis indicated that the independent risk factors for the VAP included the APACHEⅡscore more than 18 points ,emergency intubation ,mechanical ventilation duration no less than 5 days , primary pulmonary disease ,and use of antacids .CONCLUSION It is an effective way to actively improve the overall condition of the patients ,reduce the unnecessary emergency intubations ,shorten the mechanical ventilation dura‐tion ,and reduce the usage amount of antacids .
语种: 中文
原文出处: 查看原文
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/71460
Appears in Collections:北京大学第三临床医学院_急诊科_期刊论文

Files in This Item:

There are no files associated with this item.


作者单位: 北京大学第三医院急诊科,北京,100191

Recommended Citation:
张玉梅,郑亚安,郭治国,等. EICU呼吸机相关性肺炎临床危险因素分析[J]. 中华医院感染学杂志,2015(17):3949-3951.
Service
Recommend this item
Sava as my favorate item
Show this item's statistics
Export Endnote File
Google Scholar
Similar articles in Google Scholar
[张玉梅]'s Articles
[郑亚安]'s Articles
[郭治国]'s Articles
CSDL cross search
Similar articles in CSDL Cross Search
[张玉梅]‘s Articles
[郑亚安]‘s Articles
[郭治国]‘s Articles
Related Copyright Policies
Null
Social Bookmarking
Add to CiteULike Add to Connotea Add to Del.icio.us Add to Digg Add to Reddit

Items in IR are protected by copyright, with all rights reserved, unless otherwise indicated.

 

 

Valid XHTML 1.0!
Copyright © 2007-2017  北京大学医学部 - Feedback
Powered by CSpace