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集束化治疗预防重症监护病房呼吸机相关性肺炎病例对照研究 被引量:1

The case control study of bundle therapy in the prevention of ventilator-associated pneumonia in ICU
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摘要 目的探讨集束化治疗措施对重症监护病房(ICU)呼吸机相关性肺炎(VAP)的预防作用。方法采用随机病例对照研究方法,将102例机械通气时间大于或等于48 h患者分为传统治疗组50例和集束化治疗组52例,比较两组VAP发生率和病死率及机械通气和入住ICU的时间。结果集束化治疗组能明显降低VAP的发生率和病死率,减少机械通气和入住ICU时间。结论集束化治疗方案可以有效预防ICU VAP的发生。 Objective To investigate the role of the "bundle therapy" in the prevention of ventilator-associated pneumonia in the intensive care unit(ICU ). Methods A random case-control study was adopted. 102 patients with mechanical ventilation time ≥48 h were divided into traditional therapy group(n=50) and bundle therapy group(n=52). The incidence rates of VAP, fatality rate, the time of mechanical ventilation and ICU stay were compared in two groups. Results Bundle therapy could obviously reduce the incidence rate and fatality rate of VAP and decrease the time of mechanical ventilation and ICU stay. Conclusion Bundle therapy can effectively prevent the occurrence of VAP in ICU.
作者 陈喜
出处 《现代医药卫生》 2014年第5期672-673,共2页 Journal of Modern Medicine & Health
关键词 肺炎 呼吸机相关性 呼吸 人工 重症监护病房 病例对照研究 集束化治疗 Pneumonia,ventilator-associated Respiration,artificial Intensive care units Case-control studies Bundle therapy
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