呼吸机相关性的研究进展

摘要

Ventilator-associated pneumonia was a common complication of mechanical ventilation, high mortality, and its diagnostic criteria including clinical diagnosis, etiology diagnosis,serum pro-calcitonin infected cell count, Gram staining of ventilator-associated diagnosis of pneumonia had a positive meaning.In treatment, the use of antibiotic therapy was the main treatment, Chinese medicine had some effect, and to overcome the increased drug resistance bacteria, antibiotics in-crease side effects and other problems.Strict implementation of disinfection and isolation and asep-tic technique, shorten time MV,semi-recumbent position, apply gastric mucosal protective agent su-cralfate and other preventive measures could reduce the incidence of ventilator-associated pneumo-nia.%呼吸机相关性肺炎是机械通气治疗中常见并发症，病死率较高，其诊断标准包括临床诊断、病原学诊断等，血清降钙素原、感染细胞计数、革兰染色等对呼吸机相关性肺炎的诊断也有积极意义。在治疗上，使用抗生素治疗是主要治疗手段，中医药治疗也有一定疗效，且克服了病菌耐药性增强、抗生素副反应增多等难题。严格执行消毒隔离及无菌操作技术，缩短MV时间，半卧位，应用胃黏膜保护剂硫糖铝等预防措施可以降低呼吸机相关性肺炎的发病率。