Preventive Position of Ventilator-associated Pneumonia and Its Compliance

doi:10.3969/j.issn.1007-9572.2016.32.023

Abstract

Abstract: Supine position is one of the independent risk factors of ventilator-associated pneumonia（VAP） in any patient who is mechanically ventilated.Changing positions can markedly prevent VAP.This review summarizes the advantages and disadvantages of common preventive positions for VAP，such as <30° semi-recumbent position，30°-45° semi-recumbent position，continuous lateral rotation therapy and etc，meanwhile analyzes the medical care personnel compliance and influencing factors of semi-recumbent and other positions.We sum up existing problems and make recommendations in order to provide strategy for prevention of VAP.

Key words: Pneumonia, ventilator-associated, Posture, Prevention, Adherence

摘要： 仰卧位是机械通气患者发生呼吸机相关性肺炎的独立危险因素之一，更换体位具有显著的预防意义。本文综述了常见呼吸机相关性肺炎预防体位的使用利弊，如<30°半坐卧位、30°～45°半坐卧位、持续侧向旋转体位等，并分析半坐卧位及其他体位医护人员的依从性水平及影响因素，总结存在的问题，并提出建议，以期为呼吸机相关性肺炎的预防提供参考。

关键词: 肺炎, 呼吸机相关性, 体位, 预防, 依从性

XU Gui-ru, WANG Yan, LI Li, LI Ying-lan. Preventive Position of Ventilator-associated Pneumonia and Its Compliance[J]. Chinese General Practice, 2016, 19(32): 4009-4013.

许贵如, 王炎, 李丽, 李映兰. 呼吸机相关性肺炎的预防体位及其依从性研究进展[J]. 中国全科医学, 2016, 19(32): 4009-4013.

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