摘要
目的：调查建立人工气道患者肺部感染的发生情况，探讨其危险因素，力求减少建立人工气道后肺部感染发生。方法：统计我科2005年7月-2007年10月接收的237倒建立人工气道患者，进行肺部感染监控，并进行分析和总结。结果：建立人工气道患者并发肺部感染发生率为38．8％。年龄≥60岁，机械通气时间≥3天．原发疾病重，伴有意识障碍、留置鼻胃管、痰液排出不畅、各种侵袭性操作是肺部感染的相关因素。结论：充分了解建立人工气道患者中发生肺部感染的高危因素，同时提出相关的对策。
Objective ： Clinical analysis of the Nosocomial infections （NIs） on the patient with artificial airway. Our study was to investigate the risk factors in order to reduce the incidence of pulmonary infection. Methods：The study enrolled 237 patients with artificial airway form Jul 2005 to Oct 2007. The clinical data were collected and analyzed by using SPSS software. Result：There were 92 patient having nosocomial infections out of 237 patient with artificial airway. The overall incidence of nosocomial infections was 38. 8%. Univariate analysis indicated that age 960, mechanical ventilation time 3days, primary diseases, disturbance of consciousness, nasogastric tube, sputum excretion not smoothly, invasive manipulation were risk factors for nosocomial infection. Conclusion：It is important to know the high risk factors for nosocomial infections in patient with articial airway in ICU. Controling the incidence of nosocomial infections.
关键词
人工气道
肺部感染
护理对策
artificial airway, pulmonary in-fection, nursing countermeasure
