重症监护病房住院患者机械通气所致肺炎的评估及其与疾病严重程度的关系

IF 0.3 Q3 MEDICINE, GENERAL & INTERNAL
Atefe Farivar, A. Sanagoo, L. Jouybari, V. Ali, S. Moghaddam, Aanraki Rahmania
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引用次数: 0

摘要

在医院获得性感染中,呼吸机相关性肺炎(VAP)的死亡率和发病率最高。本研究的目的是确定重症监护病房(ICU)的VAP及其与疾病严重程度的关系。这项描述性分析研究在Golestan医学科学大学(伊朗北部)进行。本研究采用非随机抽样的方法选取239例ICU住院机械通气患者。采用APACHE II标准记录数据,根据临床标准和医师确认对VAP进行诊断。数据分析采用独立t检验、卡方检验、Mann-Whitney检验和单变量logistic检验。VAP发生率为19.2%,与平均动脉压(P = 0.035)、男性(P = 0.122)显著相关。VAP的发生率与胃残余容积> 200 ml值的增加有显著的直接相关性(P = 0.001)。本研究结果显示,男性、动脉压升高、胃残余体积是VAP发生的危险因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Evaluation of pneumonia due to mechanical ventilation and its association with the severity of disease in patients admitted to intensive care unit
Among the hospital-acquired infections, ventilator-associated pneumonia (VAP) has the highest mortality and morbidity rates. The aim of this study was to identify VAP in the intensive care unit (ICU) and its association with the severity of the disease. This descriptive-analytic study was conducted in Golestan University of Medical Sciences (Northern Iran). In the present study, 239 patients undergoing mechanical ventilation hospitalized in ICU were selected through non-random sampling. Data were recorded by using APACHE II criteria and diagnosis of VAP was made based on clinical criterion and physician confirmation. Data were analyzed by independent t-test, Chi-square test, Mann-Whitney test, and single-variable logistic test. The incidence of VAP was 19.2% and it was significantly related to mean arterial pressure (P = 0.035) and male sex (P = 0.122). There was a significant and direct correlation between the incidence of VAP and the increase in the value of gastric residual volume > 200 ml (P = 0.001). The findings of this study showed that male sex, increased arterial pressure, and gastric residual volume were the risk factors for the development of of VAP.
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来源期刊
Acta Facultatis Medicae Naissensis
Acta Facultatis Medicae Naissensis MEDICINE, GENERAL & INTERNAL-
CiteScore
0.70
自引率
0.00%
发文量
13
审稿时长
12 weeks
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