Contemporary Nursing
Contemporary Nursing. 2025; 6: (8) ; 10.12208/j.cn.20250415 .
总浏览量: 20
浙江定海医院（上海交通大学医学院附属瑞金医院舟山分院）重症医学科 浙江舟山
*通讯作者： 王梦兰,单位：浙江定海医院（上海交通大学医学院附属瑞金医院舟山分院）重症医学科 浙江舟山；
目的 探究对呼吸机相关性肺炎患者实施早期预防及护理措施的临床效果。方法 选取2024年1月-2025年6月我院62例呼吸机相关性肺炎患者，随机分为对照组和实验组，各31例。对照组行常规护理，实验组采取早期预防及护理措施，对比两组机械通气与住院时间、干预后3d和7d肺部CT影像学改变。结果 护理干预后，对照组机械通气时间和住院时间长于实验组， ；实验组干预后3d和7d肺部CT炎症吸收率高于对照组， 。结论 对呼吸机相关性肺炎患者实施早期预防及护理措施，能减少机械通气和住院时长，改善肺部影像学表现，提升护理满意度，值得临床推广。
Objective To explore the clinical effect of implementing early prevention and nursing measures for patients with ventilator-associated pneumonia. Methods A total of 62 patients with ventilator-associated pneumonia admitted to our hospital from January 2024 to June 2025 were selected and randomly divided into a control group and an experimental group, with 31 cases in each group. The control group received routine nursing, while the experimental group took early prevention and nursing measures. The mechanical ventilation time, hospital stay, pulmonary CT imaging changes at 3 days and 7 days after intervention, and nursing satisfaction were compared between the two groups. Results After nursing intervention, the mechanical ventilation time and hospital stay of the control group were longer than those of the experimental group. The inflammation absorption rate of pulmonary CT in the experimental group was higher than that in the control group at 3 days and 7 days after intervention, and the nursing satisfaction of the experimental group was also significantly higher than that of the control group. Conclusion Implementing early prevention and nursing measures for patients with ventilator-associated pneumonia can reduce the duration of mechanical ventilation and hospital stay, improve pulmonary imaging findings, and enhance nursing satisfaction, which is worthy of clinical promotion.
[1] 高锋丽,濮尊国.早期活动联合气流冲击对AECOPD机械通气患者呼吸机相关性肺炎的预防作用[J].河北医药,2024,46(08):1224-1227.
[2] 赵琰,韩雯雯,赵琳,等.ICU机械通气患者呼吸机相关性肺炎的危险因素及WISP1/TLR4/整合素β5通路基因变化[J].中华医院感染学杂志,2023,33(23)：3557-3561.
[3] 王彦芬,朱萍莲,刘玉芳,等.重症监护室患者呼吸机相关性肺炎的影响因素分析及预防性应对措施探讨[J].中西医结合护理(中英文),2023,9(02)：145-147.
[4] 张艳.探讨早期活动在预防机械通气患者发生呼吸机相关性肺炎中的应用效果研究[J].航空航天医学杂志,2023, 34(01):88-91.
[5] 周慧.神经外科ICU患者呼吸机相关性肺炎风险预测模型的构建[D].湖州师范学院,2022.
[6] 刘超,陈会娟,李伟,等.早期活动对心外ICU患者呼吸机相关性肺炎的预防效果[J].宁夏医学杂志,2022, 44(01): 29-31.
[7] 周极新,朱菱,谢湘梅.以护士为主导的早期肺康复治疗在预防呼吸机相关膈肌功能障碍中的效果观察[J].全科护理,2021,19(23):3220-3224.
[8] 雷玉莲.早期综合肺康复干预对有创机械通气患者呼吸机相关性肺炎的预防效果[J].家庭生活指南,2021, 37(08): 72-73.