摘要
目的：：探讨重型脑外伤呼吸机相关性肺炎高危因素的发生原因及其防治措施，为今后临床提供参考和和借鉴。方法：选取2012年1月~2013年1月期间我院收治的86例重型脑外伤患者为研究对象，根据其临床资料进行回顾性分析和总结，探讨重型脑外伤呼吸机相关性肺炎高危因素的发生原因及其预防措施。结果：年龄、气管切开、住院时间、自身基础疾病都是影响呼吸机肺炎的高危因素，预防后患者的呼吸、心率等明显优于预防前，p＜0.05，差异具有统计学意义。结论：正确认识重型脑外伤患者发生呼吸机相关性肺炎的高危因素，并采取积极有效的预防措施，能够减少呼吸机相关性肺炎的发生率，促进患者恢复健康，值得在临床实践中推广。
Abstract
objective to explore the risk factors of ventilator associated pneumonia occurring reason and prevention measures, and offer reference for the future clinical. Methods from January 2012 to January 2013, 86 cases of our hospital during the period of severe brain injury patients as the research object, according to the clinical data were retrospectively analyzed and summarized, severe brain in-jury to explore risk factors of ventilator associated pneumonia causes and preventive measures. Results age, tracheotomy, length of hos-pital stay, its are basic diseases affect the breathing machine pneumonia risk factors, prevention of patients after breathing, heart rate, such as prevention is obviously better than the former, p< 0.05, the difference is statistically significant. Conclusion in patients with severe brain injury, correct understanding the risk factors of ventilator associated pneumonia, and take positive and effective preventive mea-sures, to reduce the incidence of ventilator associated pneumonia, promote the patient back to health, is worth popularizing in clinical practice.
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