摘要
【目的】探讨重症监护病房（Icu）应用有创呼吸机的患者发生下呼吸道感染的危险因素。【方法】回顾性分析2010年3月至2011年3月合肥医学院附属医院ICU应用有创呼吸机发生下呼吸道感染54例患者的临床资料，选取影响下呼吸道感染相关因素进行Logistic回归分析。【结果】单因素分析表明，白蛋白水平、APACHEⅡ评分、呼吸机应用时间、胃内容物返流、体位、抗酸剂、糖皮质激素、其他侵入性操作因素为术后肺部感染的相关因素。Logistic回归分析显示，APACHEⅡ评分、呼吸机应用时间、胃内容物返流和平卧位为引起有创呼吸机的患者发生下呼吸道感染的独立危险因素。【结论】ICu应用有创呼吸机的患者发生下呼吸道感染与多种因素有关，采取综合治疗措施有助于下呼吸道感染的预防与控制。
Objectivel To explore the risk factors of the incidence of lower respiratory tract infection in in- tensive care unit（ICU） patients with invasive mechanical ventilation. KMethodsl Clinical data of 54 patients with lower respiratory tract infection from Jun. 2007 to Sep. 2012 were analyzed retrospectively. The related risk factors were chosen and multifactor logistic regression analysis was made. Resultsl Univariate analysis showed that the level of albumin, APACHE score, utilizing time of ventilator, rogurgitation, horizontal po- sition, antiacid, glucocorticoids and other invasive procedures were the related factors of pulmonary infection after the operation. Logistic regression analysis showed that APACHE score, utilizing time of ventilator, rogurgitation and horizontal position were the independent risk factors of lower respiratory tract infection of patients with invasive mechanical ventilation, fConclusionl The incidence of lower respiratory tract infection in patients with invasive mechanical ventilation is associated with multiple factors. Comprehensive therameasures are helpful to prevent and control the occurrence of lower respiratory tract factors.
出处
《医学临床研究》
CAS
2013年第2期272-274,共3页
Journal of Clinical Research
关键词
呼吸道感染
通气机
负压
重症监护病房
respiratory tract infections ventilators, negative-pressure intensive care units
