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目的:分析脑外伤患者发生院内肺部感染的相关危险因素,并采取针对性的预防管理措施,以提高临床治疗效果。方法:回顾性分析宁海县第一医院2013年4月~2014年5月收治的123例脑外伤患者的临床资料,使用软件包SPSS 14.0对诱发脑外伤患者肺部感染的相关危险因素进行统计和分析。结果:123例脑外伤患者中,出现肺部感染者共37例,感染率为32.08%。其中高龄(>55岁)、休克、气管切开、留置胃管、呼吸机长时间使用、抗生素和激素类药物的不合理使用、咳痰反应差、侵入性操作多、格拉斯哥昏迷评分(GCS)值低等是导致脑外伤病人发生院肺部感染的高危因素。结论:通过实施强化病房卫生管理、积极治疗原发病、减少医源性感染、有效排痰、合理使用激素和抗生素、提高患者免疫力、防止误吸等措施,可以降低脑外伤病人并发院内肺部感染的几率。
Objective: To analyze the related risk factors of nosocomial pulmonary infection in traumatic brain injury patients and to take targeted preventive management measures to improve the clinical effect. Methods: The clinical data of 123 cases of traumatic brain injury in Ninghai First Hospital from April 2013 to May 2014 were retrospectively analyzed. The software package SPSS 14.0 was used to analyze the related risk factors of pulmonary infection in patients with traumatic brain injury analysis. Results: In 123 cases of traumatic brain injury, there were 37 cases of pulmonary infection, the infection rate was 32.08%. Among them, elderly (> 55 years old), shock, tracheotomy, gastric tube indwelling, prolonged use of respirator, unreasonable use of antibiotics and hormonal drugs, poor sputum response, invasive operation, Glasgow Coma Scale (GCS) Low value is the risk factors of lung infection in patients with traumatic brain injury. Conclusion: Through the implementation of intensive ward health management, aggressive treatment of primary disease, reduction of iatrogenic infection, effective expectoration, rational use of hormones and antibiotics, improvement of patient immunity and prevention of aspiration and other measures, Department of infection rate.