摘要
目的探讨集束化循证策略对呼吸机相关性肺炎(VAP)干预的效果。方法对入住重症监护室(ICU)的患者VAP发生情况进行目标性监测。将2010年10月1日至2011年6月30日入住的患者作为对照组,2012年3月1日至2012年12月30日入职的患者为观察组。对照组患者采取常规的治疗和护理,观察组患者在常规处理的基础上采用集束化循证策略预防VAP。结果观察组患者VAP的发生率明显低于对照组(χ2=4.96,P<0.05),但死亡率差异无统计学意义(Fisher确切概率法,P>0.05)。结论集束化循证策略应用于临床可以有效防止ICU VAP的发生。
Objective To explore the interventional effect of the bundled evidence based strategies on ventilator-associated pneu- monia（VAP）. Methods The targeted surveillance was adopted for the occurrence of VAP in the patients admitted to ICU. The pa- tients admitted from October 1,2010 to June 30,2011 were assigned to the control group, while those from March 1 to December 30,2012 to the observation group. The control group took the conventional treatment and care, on this basis the observation group adopted the bundled evidence-based strategies to prevent VAP. Results The incidence rate of VAP in the observation group was obviously lower than that in the control group （χ^2=4.96, P〈0.05）. But the difference of mortality rate between the two groups had no statistical significance（Fisher exact probability test, P〉0.05）. Conclusion The clinical application of bundled evidence- based strategies can effectively prevent the occurrence of VAP in ICU.
出处
《重庆医学》
CAS
CSCD
北大核心
2013年第15期1719-1721,共3页
Chongqing medicine
关键词
肺炎
呼吸机相关性
集束化
循证医学
干预性研究
目标性监测
pneumonia, ventilator-associated
bundles
evidence based medicine
intervention studies
targeted surveillance
