摘要
目的探讨老年髋部骨折患者围手术期肺部感染的危险因素,并提出预防对策,降低感染发生率。方法回顾性分析2006年11月-2012年11月河北保定地区30所医院的760例老年髋部骨折患者临床资料,对其围手术期出现的肺部感染进行危险因素分析。结果高龄、有多种合并症、白细胞升高、受伤至就诊时间、入院至手术时间、手术方式是髋部骨折围手术期肺部感染的危险因素(P<0.05);其中年龄、>2种合并症、白细胞增高是肺部感染的高危险因素。结论高龄髋部骨折患者应早期接受正规内科规范治疗,术前积极控制合并症,改善肺功能,尽可能的降低围术期的肺部感染的发生。
OBJECTIVE To explore the risk factors for pulmonary infections in elderly patients with hip fracture during perioperative period and put forward prevention countermeasures so as to reduce the incidence of infections. METHODS Totally 760 elderly patients with hip fracture , who were treated in 30 hospitals in Baoding, Heibei province from Nov 2006 to Nov 2012, were enrolled in the study, then the clinical data of the subjects were retrospectively analyzed, and the risk factors for pulmonary infections that occurred during the perioperative period were analyzed. RESULTS The risk factors for the pulmonary infections during the perioperative period included the advanced age, multiple complications, elevated level of while blood ceils, interval between injury and treatment, interval between admission and surgery, and surgery approach（P〈0.05） ;the age, more than two complications, and elevated level of white blood cells were the high risk factors. CONCLUSION The advanced patients with hip fracture should receive standard internal medicine treatment in early stage, the complications are supposed to be actively controlled, and lung function should be improved so as to reduce the incidence of pulmonary infections during the perioperative period.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2013年第21期5185-5187,共3页
Chinese Journal of Nosocomiology
基金
河北中医类科研计划基金项目(2012134)
关键词
老年
髋部骨折
围手术期
肺部感染
危险因素
Hip fracture
Perioperative period
Pulmonary infection
Risk factor
