新生儿呼吸机相关性肺炎危险因素及护理分析

新生儿呼吸机相关性肺炎危险因素及护理分析

周兴美

【期刊名称】《中国社区医师》 【年(卷),期】2015(000)003

【摘要】目的：探讨新生儿呼吸机相关性肺炎危险因素以及相对应的护理措施。方法：2011年6月-2013年6月收治机械通气≥48 h的新生儿146例，对其临床资料给予回顾性分析。结果：呼吸机相关性肺炎(VAP)组和对照组死亡率差异不具有统计学意义(P＞0.05)。36例新生儿发生 VAP，占总体的24.65%。病原菌主要为革兰阴性杆菌。根据Logistic回归分析结果：机械通气时间≥5 d、出生体重＜2.5 kg以及气管内吸引次数≥6次/d是引发新生儿VAP的危险因素。结论：新生儿呼吸机相关性肺炎的出现是由内部因素和外部因素共同作用的结果，必须要采取综合护理干预措施，使发生VAP的几率进一步降低。%Objective:To explore the risk factors and corresponding nursing measures in neonatal ventilator associated pneumonia. Methods:146 cases of newborn treated with mechanical ventilation≥48 h from June 2011 to June 2013 were chosen and their clinical data were analyzed retrospectively.Results:There was no statistically significant differences of the mortality rate between the ventilator associated pneumonia (VAP) group and the control group(P>0.05).36 cases of neonatal affected VAP,accounting for 24.65%.The pathogenic bacteria were mainly gram-negative bacilli.According to the results of Logistic regression analysis:the time of mechanical ventilation being 5 days or more,the