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成人ICU患者显性误吸影响因素分析

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目的 探讨成人ICU患者发生显性误吸的影响因素,为识别高危人群、降低显性误吸发生率提供参考.方法 选取成人ICU患者798例,利用单因素分析和logistic回归分析探讨显性误吸的影响因素.结果 成人ICU患者显性误吸发生率为16.9%,机械通气、胃残余量、腹腔内压力、误吸史、呕吐是危险因素(均P<0.05).结论 成人ICU患者有发生显性误吸的风险,需重点关注机械通气、有误吸史及呕吐的患者,减少胃残余量和降低腹腔内压力,以减少显性误吸.
Risk factors for overt aspiration in adult ICU patients
Objective To determine the risk factors for overt aspiration in adult ICU patients and to provide reference for identifying the high-risk patient and reducing overt aspiration.Methods A total of 798 adult ICU patients were selected.Univariate analysis and logistic regression analysis were performed to identify the risk factors for overt aspiration.Results The incidence of overt aspiration was 16.9%.Mechanical ventilation,gastric residual volume,intra-abdominal pressure,aspiration history and vomiting were risk factors for overt aspiration in adult ICU patients(all P<0.05).Conclusion Adult ICU patients are at risk for overt aspiration.At-tention should be paid to those with mechanical ventilation,aspiration history and vomiting,and interventions should be taken to reduce gastric residual volume and intra-abdominal pressure,thus to decrease overt aspiration.

adultICUaspirationovert aspirationmechanical ventilationgastric residual volumeintra-abdominal pressurevomitting

王彩虹、刘霞琴、覃双文、陆秀红、李玲、黄德斌

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南宁市第二人民医院药物临床试验机构办公室(广西南宁,530005)

广西医科大学第一附属医院呼吸与危重症医学科二病区

广西医科大学护理学院

广西医科大学第一附属医院重症医学科二病区

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成人 ICU 误吸 显性误吸 机械通气 胃残余量 腹腔内压力 呕吐

南宁市青秀区科技计划

2018033

2024

护理学杂志
华中科技大学同济医学院

护理学杂志

CSTPCD北大核心
影响因子:2.062
ISSN:1001-4152
年,卷(期):2024.39(1)
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