Objective To investigate ventilator associated pneumonia in newborns related factors and nursing countermeasure.Methods Selected 140 cases with infants treatment newborn from January 2013 to June 2015 as the observation object, determine the incidence of VAP, observed the differences in the VAP group and noVAP group of body weight, gender, nutritional status, premature birth, aspiration, mechanical ventilation time. Results 140 cases occurred VAP 30 cases, incidence rate was 20.00%;VAP group with premature 40.00%, aspiration 33.33%, duration of mechanical ventilation (7.34±2.87) was high than the non VAP group 12.73%, 10.00%, (4.40±1.98) days ,P＜0.05, was difference had statistically significance. weight (2.22±0.41) kg,albumin levels (30.22±2.07) g/L below VAP group (2.68±0.55) kg, (33.04±2.30) g/L,P＜0.05, was difference had statistically significance, which was the factors of VAP.Conclusion The incidence of neonatal VAP is high, the influence factors are varied, and the corresponding nursing measures should be adopted to reduce the occurrence of VAP.%目的 探讨导致新生儿呼吸机相关性肺炎(VAP)相关因素及护理对策.方法 选择2013年1月～2015年6月我院140例应用呼吸机治疗的新生儿作为观察对象,判断VAP发生率,观察VAP组与未发生VAP组患儿体重、性别构成、营养状态、早产、误吸、机械通气时间等方面上的差异.结果 140例患儿中发生VAP 30例,发生率为20.00%;VAP组患儿早产占40.00%、发生误吸33.33%、机械通气时间(7.34±2.87)d高于无VAP组的12.73%、10.00%、(4.40±1.98)d, P＜0.05,差异具有统计学意义.体重(2.22±0.41)kg、白蛋白水平(30.22±2.07)g/L低于无VAP组的(2.68±0.55)kg、(33.04±2.30) g/L,P＜0.05,差异具有统计学意义,是导致VAP的相关因素.结论 新生儿VAP发生率较高,影响因素多种多样,应通过采取相应的护理对策降低新生儿VAP的发生.
展开▼
