摘要
目的 了解院内获得性肺炎的临床特点及危险因素.方法 回顾性收集我院2008年2月～2010年2月270例院内获得性肺炎患者及同期住院的30.0例一般情况匹配的无院内感染患者的相关资料,并运用SPSS 13.0统计软件进行数据分析.结果 院内获得性肺炎多发生于有基础疾病患者,ICU居首位,与住院时间长、侵袭性操作、抗生素种类多,应用免疫抑制剂等有关（P〈0.05）,病原菌以G^-菌为主.结论 应对院内获得性肺炎危险因素予以重点关注,并采取相应的防治措施,临床上应缩短住院日,掌握侵入性操作指征,合理使用抗生素.
Objective To study the clinical characteristics and risk factors of hospital acquired pneumonia. Methods Retrospective study was performed on 270 patients with hospital acquired pneumonia and 300 non-infection patients in our hospital from February,2008 to February ,2010, the data were an- alyzed with SPSS 13.0 software. Results Most hospital acquired pneumonia cases betide in patients with basis diseases,among which ICU occupied the top place. Logistic regression analysis indicated that long time hospitalization,invading procedures,taking more than 2 kinds of antibiotics and immune suppressive agents were the main risk factors for hospital acquired pneumonia （ P 〈 0.05 ）. Gram-negative bacilli was the mainly pathogen. Conclusions More attention should be paid to the risk factors, The prevention and treatment of infection should be strictly controlled in long time hospitalization, indications of intrusive operations and rational use of antimicrobial agents.
出处
《临床内科杂志》
CAS
2010年第11期767-769,共3页
Journal of Clinical Internal Medicine
关键词
院内获得性肺炎
危险因素分析
Hospital acquired pneumonia
Risk factor analysis
