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目的:对比常规干预以及集束化干预策略联合ICU感控小组责任制对恶性肿瘤并发呼吸机相关性肺炎(VAP)的效果。方法:选取2016年1月-2016年12月金华广福医院收治的恶性肿瘤患者80例,根据干预方式不同分为两组,对照组应用集束化干预策略,研究组联合应用ICU感控小组责任制,对比两组干预效果及VAP发生情况。结果:研究组患者的机械通气时间、ICU时间以及VAP发生率均显著低于对照组(P<0.05);治疗前两组患者的血气指标无明显区别(P>0.05),治疗后均得到一定改善,研究组显著优于对照组(P<0.05);痰培养病原菌检出结果对比方面,研究组患者检出病原菌显著少于对照组(P<0.05)。结论:恶性肿瘤患者在治疗过程当中应用集束化干预策略联合ICU感控小组责任制,有利于减少患者机械通气时间以及住ICU时间,避免病原菌感染,降低VAP发生风险。
OBJECTIVE: To compare the effects of routine intervention and cluster intervention strategies with ICU sensitization panel responsibility system on patients with malignant neoplasm associated with ventilator-associated pneumonia (VAP). Methods: From January 2016 to December 2016, 80 patients with malignant tumors admitted to Jinhua Guangfu Hospital were divided into two groups according to the intervention methods. The control group was given the cluster intervention strategy. The effects of two interventions and the occurrence of VAP were compared. Results: The duration of mechanical ventilation, ICU time and the incidence of VAP in study group were significantly lower than those in control group (P <0.05). There was no significant difference between the two groups before treatment (P> 0.05) (P <0.05). Compared with the detection results of sputum culture pathogen, the number of pathogens detected in the study group was significantly less than that of the control group (P <0.05). Conclusions: The combination of cluster intervention strategy and ICU sensitization panel responsibility in the treatment of malignant tumor patients is beneficial to reduce the duration of mechanical ventilation and ICU stay, avoid the infection of pathogens and reduce the risk of VAP.