摘要
呼吸机相关性肺炎是一种与使用呼吸机密切相关的疾病,属于医院获得性肺炎的一个种类,主要是因为有人工气道的存在,不论是经口还是经鼻的气管插管,都是将整个气道打开,这样一来,上气道分泌物有可能会向下流,从而引发呼吸机相关性肺炎。多项研究证实,患者一旦发生呼吸机相关性肺炎,会造成脱机困难,既延长了患者的住院时间,又对患者的生命构成了巨大威胁。引发呼吸机相关性肺炎的原因呈现多样性,包括机体呼吸道与全身防御机制受损、口咽部定植菌误吸入肺、空气和环境因素、医源性因素等。护理在呼吸机相关性肺炎的防治中发挥着至关重要的作用,积极采取行之有效的预防措施和护理措施,在一定程度上,可以降低呼吸机相关性肺炎的发生率。本文对重症监护室(ICU)预防呼吸机相关性肺炎护理进展进行了深入分析与研究,以期优化呼吸机相关性肺炎临床护理效果和治疗效果。
Ventilator associated pneumonia(VAP)is a disease closely related to the use of ventilator,and belongs to a kind of hospital acquired pneumonia. It is mainly due to the existence of artificial airway.Whether it is oral or nasal endotracheal intubation,the whole airway is opened. In this way,the secretion of upper airway may flow downward,resulting in VAP. Many studies have confirmed that once patients have VAP,it will cause difficulty in offline,which not only prolongs the hospitalization time of patients,but also poses a great threat to the lives of patients. The causes of VAP are diverse,including the damage of respiratory and systemic defense mechanisms,the accidental inhalation of oropharyngeal colonized bacteria into the lungs,air and environmental factors,iatrogenic factors,etc. Nursing plays a vital role in the prevention and treatment of VAP. Actively taking effective preventive and nursing measures can reduce the incidence of VAP to a certain extent. This paper makes an in-depth analysis and research on the nursing progress of preventing VAP in intensive care unit(ICU),in order to optimize the clinical nursing effect and treatment effect of VAP.
作者
胡玉媛
HU Yu-yuan(Intensive Care Unit,Tianjin Second People's Hospital,Tianjin 300192,China)
出处
《中国城乡企业卫生》
2022年第10期43-45,共3页
Chinese Journal of Urban and Rural Enterprise Hygiene
关键词
重症监护室
呼吸机相关性肺炎
预防
护理
Intensive care unit
Ventilator associated pneumonia
Prevention
Nursing
