有奖：翻译摘要（关于VAP的一个系统综述）
本帖最后由 老朽 于 2010-1-30 11:03 编辑谁来翻译这个摘要？关于VAP的一个系统综述 译文有奖！
Journal of Hospital Infection (2007) 67, 1-8
《REVIEWPrevention of ventilator-associated pneumonia: analysis of studies published since 2004》
Summary As the most recent guidelines for the prevention of ventilatorassociated
pneumonia (VAP) were published four years ago, we have
conducted a systematic review to discover whether the recently published
articles should further influence existing guidelines. Articles published since
2004 dealing with infection control measures for prevention of VAP were
gathered and evaluated in order to identify evidence for the possible modification
of routine practice. Special emphasis was placed on randomized
controlled trials (RCTs), meta-analyses or systematic reviews and studies
applying multi-module interventions. A total of 15 RCTs and seven metaanalyses
or systematic reviews were found. In addition to these, five cohort
studies were identified where multi-module programmes were introduced
for reducing VAP rates. The data lead to the conclusion that topical use of
chlorhexidine for oral care is beneficial and subglottic secretion drainage
may lead to delayed onset of VAP. The remaining studies had only a minor
influence on existing guidelines for the prevention of VAP and confirmed
the earlier recommendations in several points. However, the studies investigating
multi-module programmes led to a substantial reduction of VAP of
between 31 and 57%. The data show that many VAP cases are preventable
and that there is room for improvement in many institutions. Often simple
interventions are useful for the reduction of VAP rates, for which the best
chances appeared to be the application of multi-module programmes. On
average a reduction of more than 40% seems to be possible. 《呼吸机相关性肺炎的预防：2004年以来发表的文献的分析和综述》
摘要：
近四年来，大多数的呼吸机相关性肺炎（VAP）预防的指南的发表，我们对其进行系统综述，有助于揭开最近发表的论著是否能对已经存在的指南产生深远的影响。我们检索了自2004年来发表的关于VAP的预防控制措施的论文。特别重点强盗的是那些随机对照试验（RCTs），Meta分析或系统综述和采取了多种干预措施的研究。共检索到15篇RCTs和7篇Metal分析或系统综述。另外还包括了确认是多种干预措施减少VAP发生率的5篇队列研究。数据显示，洗必泰的口腔护理和声门下分泌物引流有助于延缓VAP的发生时间。其它的研究对目前的VAP的预防指南影响甚微和证实了早期的干预建议。然而，多种干预措施的调查研究表明能够减少31%至57%的的发生。数据也表明，很多VAP是可预防的，在很多部门VAP发生减少的空间。单一的干预措施有助降低VAP的发生率，因为它是多种干预措施应用的最好的机会和开始。VAP的发生率平均能降低40%以上。 翻译的不好，请大家批判指正，能否把全文挂上？{:1_1:} 摘要 由于最近的对于呼吸机相关肺炎（VAP）预防的指南是四年前出版的，我们已经进行了系统的回顾来发现是否近来发表的文章能够进一步的影响现在的指南。自从2004年发表的文章关于呼吸机相关肺炎预防的感染控制方法被收集和评估，目的是为了确认日常操作可能改进的证据。随机对照试验，Meta分析或系统回顾和应用多种干预措施的研究被特别强调。总共15篇随机对照试验和7篇Meta分析或系统回顾被发现。除了这些，5篇队列研究确认多种干预措施被引进来降低呼吸机相关肺炎的发生率。这些数据引出一个结论，口腔护理中洗必泰的局部使用时有效的，声门下分泌物引流也延缓了VAP的发生。其他的研究对于现在预防VAP指南的影响甚微，同时在几点上也证实了早期的推荐。然而，多干预措施的研究调查表明了VAP31%-57%的显著降低。数据显示很多VAP病例是可预防的，在很多的机构仍有改进的空间。常常单一的干预方法对于VAP发生率的降低是有用的，因为最好的时机是多干预措施的应用。VAP发生率平均降低40%以上也是有可能的。 回复 2# 天师
翻译的不错，辛苦了！全文其实有的，由于我电脑的缘故，暂时粘贴不了附件，下周挂上来。 回复 4# nancywhite
翻译的很好，学习了您的翻译稿！ 回复 7# nancywhite
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