摘要
目的探讨脑出血患者术后院内肺部感染的危险因素并提出相应的预防干预措施。方法选择2014年1月至2018年12月我科脑出血术后住院患者82例为研究对象,其中21例术后出现肺部感染,采用多因素logistic回归分析导致脑出血患者发生肺部感染的危险因素。结果多因素logistic回归分析发现,格拉斯哥昏迷指数(GCS)评分≤6分、抗生素使用≥3种、年龄≥60岁、使用呼吸机≥2 d、吸入性肺炎是导致脑出血患者术后出现院内肺部感染的独立危险因素(P<0.05)。结论肺部感染会增加脑出血患者术后的病死率,临床上应高度重视肺部感染的危险因素,采取针对性的预防干预措施以减少脑出血患者术后院内肺部感染的发生率。
Objective To explore the risk factors of postoperative nosocomial pulmonary infection in patients with cerebral hemorrhage and put forward corresponding preventive intervention measures.Methods We selected 82 cases of patients with cerebral hemorrhage who were hospitalized in our department from January 2014 to December 2018 as the study subjects,of which 21 cases of patients had pulmonary infection after operation.Multivariate logistic regression analysis was used to determine the risk factors causing pulmonary infection in patients with cerebral hemorrhage.Results Multivariate logistic regression analysis showed that the Glasgow coma scale(GCS)score≤6 points,use of antibiotic≥3 kinds,age≥60 years old,use of ventilator≥2 d,and aspiration pneumonia were independent risk factors for postoperative nosocomial pulmonary infection in patients with cerebral hemorrhage(P<0.05).Conclusion Pulmonary infections could increase the mortality of patients with cerebral hemorrhage after surgery.Clinically,the risk factors of pulmonary infections should be highly valued and targeted preventive intervention measures should be taken to reduce the incidence of nosocomial pulmonary infections in patients with cerebral hemorrhage after surgery.
作者
陈霞
周俊
CHEN Xia;ZHOU Jun
出处
《护理实践与研究》
2020年第1期98-100,共3页
Nursing Practice and Research
关键词
脑出血
肺部感染
危险因素
预防干预措施
Cerebral hemorrhage
Pulmonary infection
Risk factors
Preventive intervention measures
