文档介绍：1 ICU 昏迷患者下呼吸道感染危险因素与护理作者: 吴玉琴,叶俏,陈小珍,张纯,戴训芬,李约曼, 张飞云,李跃,郑承婉,胡洪佩【摘要】目的研究昏迷患者下呼吸道感染危险因素, 并采取相应的降低感染率的护理措施。方法采用前瞻性的临床研究,将 1999 年6 月~ 2005 年1 月入住 ICU 的昏迷患者共 104 例, 按有无人工气道分为两组, 并排除原有慢性呼吸道疾病及已发生下呼吸道感染者,两组均实行定时翻身、肺部叩击等呼吸道护理。结果人工气道组感染率为 % , 无人工气道组感染率为 % , 两组资料经统计学分析,P< , 差异有显著性。结论气管插管与气管切开等人工气道的建立, 破坏了呼吸道的自然屏障, 是下呼吸道感染的危险因素之一。维持人工气道的内环境平衡, 使之符合生理的要求可降低感染的发生。【关键词】昏迷;呼吸道感染;危险因素;研究 Risk factors and nursing measures for patients with low respiratory tract infection in ICU 2 【 Abstract 】 Objective To study on risk factors of a patients who suffered from low respiratory tract infection(hospital acquired pneumonia , HAP) , then perform relevant nursing care to reduce the HAP From June 1999 to Janurary 2005 , 104 a patients according to whether they had artificial respiratory tract(ART)or not , were divided into two groups , and these patients were all without COPD or HAP before bEing enrolled. The se two groups patients were given the same nursing care such as changing positions at regular time , back patting every two hours , appropriate sputum In the ART group HAP rate were % , non-ART group were %.The difference between these of two groups were significant(P < ) .Conclusion ART such as trachea intubation and tracheotomy , which can damage respiratory tract natural defensive function , is one of the risk factors of meas