氯己定擦浴降低神经外科ICU患者呼吸机相关肺炎的效果评价
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刘银梅

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Effect of chlorhexidine bathing on reducing ventilatorassociated pneumonia in patients in neurosurgical intensive care unit
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    摘要:

    目的评价氯己定擦浴降低呼吸机相关肺炎(VAP)的效果。方法对某院神经外科重症监护病房(ICU)机械通气>48 h患者进行干预,采用氯己定皮肤擦浴,1次/日,并建立有效监督管理机制,比较干预前(2013年1—12月)和干预后(第1阶段:2014年1—12月;第2阶段:2015年1—12月)VAP发生率。结果共调查1 015 例患者,干预前氯己定皮肤擦浴执行率为0,干预后第1、2阶段分别为 55.36%和88.49%;干预前VAP日发生率为9.21‰,干预后第1、2阶段分别为7.67‰、4.77‰,两组数据相关分析结果显示,VAP日发生率与干预措施执行率呈负相关关系(rs=-1.00, P<0.001)。结论氯己定擦浴可以有效降低VAP发生率。

    Abstract:

    ObjectiveTo evaluate the effect of chlorhexidine bathing on reducing ventilatorassociated pneumonia(VAP).MethodsPatients with mechanical ventilation for>48 hours in the neurosurgical intensive care unit(ICU) in a hospital were intervened, chlorhexidine skin rubbing was performed once a day, effective supervision and management mechanism was established, incidence of VAP before intervention (JanuaryDecember, 2013) and after intervention (first stage: JanuaryDecember, 2014; second stage: JanuaryDecember, 2015) was compared.ResultsA total of 1 015 patients were investigated, implementation rate of chlorhexidine skin rubbing before intervention was 0, the first and second stages of postintervention were 55.36% and 88.49% respectively. Incidence of VAP per 1 000 ventilator days before intervention was 9.21‰, the first and second stage after intervention were 7.67‰ and 4.77‰ respectively, correlation analysis on two groups of data showed that there was a negative correlation between incidence of VAP and implementation rate of intervention measures(rs=-1.00, P<0.001).ConclusionDaily bathing with chlorhexidine can effectively reduce the incidence of VAP.

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余红,杨惠英,刘银梅.氯己定擦浴降低神经外科ICU患者呼吸机相关肺炎的效果评价[J]. 中国感染控制杂志,2018,17(5):400-403. DOI:10.3969/j. issn.1671-9638.2018.05.007.
YU Hong, YANG Huiying, LIU Yinmei. Effect of chlorhexidine bathing on reducing ventilatorassociated pneumonia in patients in neurosurgical intensive care unit[J]. Chin J Infect Control, 2018,17(5):400-403. DOI:10.3969/j. issn.1671-9638.2018.05.007.

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  • 收稿日期:2017-05-14
  • 最后修改日期:2017-07-05
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  • 在线发布日期: 2018-05-28
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