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目的了解晚期肿瘤患者肺部感染情况与相关因素,探讨护理对策。方法通过回顾性调查方法,对2013年1月-2014年12月住院的晚期肿瘤患者肺部感染情况和相关危险因素进行分析。结果 1 056例晚期肿瘤患者中的126例发生了肺部感染,感染率为11.9%;肺部感染患者痰标本培养阳性检出70例,共分离致病菌76株,其中真菌占50%,同时感染2种病原菌的6例;患者疾病类型、年龄、住院时间、体能PS评分以及营养与肺部感染具有相关性(P<0.05)。结论肺部肿瘤、年龄大、营养不良、体能状态差、住院时间长的晚期肿瘤患者易发生肺部感染,应采取针对性护理对策。
Objective To understand the pulmonary infection in patients with advanced cancer and related factors, to explore nursing strategies. Methods The retrospective investigation was conducted to analyze the pulmonary infection and related risk factors of patients with advanced cancer hospitalized from January 2013 to December 2014. Results Of the 1 056 patients with advanced cancer, 126 cases developed pulmonary infection, the infection rate was 11.9%. In sputum samples of lung infection, 70 cases were positive for sputum culture. 76 pathogens were isolated, of which 50% were fungi, Six cases were infected with two kinds of pathogens at the same time. The type of disease, age, length of hospital stay, physical PS score, and nutrition and pulmonary infection were correlated (P <0.05). Conclusions Lung cancer, advanced age, malnutrition, poor performance status and long hospital stay are likely to develop pulmonary infection in patients with advanced stage tumors, and targeted nursing strategies should be taken.