2011年8月第1卷第16期·论 著· ICU呼吸机相关性肺炎目标性监测效果分析 黄 敏 四川省自贡市第三人民医院医院感染管理科,四川自贡 643020 [ 摘要] 目的探讨笔者所在医院 ICU 呼吸机相关性肺炎的感染率和危险因素,为制定有效控制呼吸机相关性肺炎危险因 素的干预措施提供科学依据。方法采用目标性监测方法。结果 2009 年 1 月~ 2010 年 12 月共监测机械通气患者 153 例,发生呼吸机相关性肺炎24 例,%。结论目标性监测能及时准确获得 ICU 呼吸机相关性肺炎的发 生率及危险因素,呼吸机相关性肺炎目标性监测的技术应用,对指导临床、降低呼吸机相关性肺炎的发生具有重要意义, 是院感监测方法中科学性强、经济适用、简便易行、值得推广的监测方法。 [ 关键词] 呼吸机相关性肺炎;目标性监测;ICU [ 中图分类号] [ 文献标识码] A [ 文章编号] 2095-0616(2011)16-21-02 Effectiveness of targeted monitoring with ICU ventilator associated pneumonia HUANG Min Department of Hospital Infection Control Branch,the Third People's Hospital of Zigong in Sichuan Province, Zigong 643020,China [Abstract] Objective To understand the incidence and risk factors of ventilator associated pneumonia in ICU of our hospital. Methods The targeted monitoring was used. Results There were 153 cases of mechanical ventilation from January 2009 to December 2010, of them 24 cases developmented ventilator associated pneumonia, the incidence was %. Conclusion The targeted monitoring may get the incidence and risk factors of ventilator associated pneumonia in icu promptly and accurately. [Key words] Ventilator associated pneumonia;Targeted monitoring;ICU 呼吸机相关性肺炎(ventilator associated pneumonia,VAP) 听诊有罗音;③有全身感染的症状、体征,如体温升高,血白细 指患者在建立人工气道(气管插管或切开)及机械通气48 h 胞升高或下降,临床医师填写相关检查和检验申请者。 或撤机拔管后 48 h 以内所发生的医院获得性肺炎,
