目的：探讨精细化护理在老年重症护理呼吸机相关性肺炎(VAP)患者中的应用对改善患者呼吸功能的价值。方法：将(2018年7月~2020年8月) 110例老年重症护理呼吸机相关性肺炎(VAP)患者作为研究对象，以随机抽签方式开展分组，对照组(55例)、试验组(55例)，对照组进行常规护理，试验组进行精细化护理，对比不同组别之间的呼吸功能、VAP发生率、护理质量、护理满意率。结果：护理前两组呼吸功能指标对比无差异，P > 0.05；护理后试验组呼吸次数、氧合指数、浅快呼吸指数均高于对照组，P < 0.05。试验组VAP发生率为3.64%，对照组发生率为3.64%，试验组低于对照组，P < 0.05。试验组机械通气时间、ICU停留时间以及住院时间均低于对照组，P < 0.05。结论：老年重症护理呼吸机相关性肺炎给予精细化护理可对呼吸功能进行及时有效的恢复，保证护理质量，应用价值高。
Objective: To explore the value of fine nursing in elderly patients with ventilator-associated pneumonia (VAP) in improving their respiratory function. Methods: From July 2018 to August 2020, 110 elderly patients with ventilator-associated pneumonia (VAP) in intensive care were selected as the research objects and randomly divided into control group (55 cases) and experimental group (55 cases). The control group received routine care while the experimental group received meticulous care, and the respiratory function, VAP incidence, nursing quality and nursing among different groups were compared. Results: There was no difference in respiratory function indexes between the two groups before nursing, P > 0.05; after nursing, the respiratory frequency, oxygenation index and shallow fast respiratory index of the experimental group were higher than those of the control group (P < 0.05). The incidence of VAP in experimental group was 3.64%, while that in control group was 3.64%, which was lower than that in control group (P < 0.05). Mechanical ventilation time, ICU stay time and hospitalization time in the experimental group were lower than those in the control group (P < 0.05). Conclusion: Exquisite nursing for elderly patients with ventilator-associated pneumonia can recover respiratory function in time and effectively, and ensure nursing quality, which has high application value.