中国实用护理杂志
中國實用護理雜誌
중국실용호리잡지
CHINESE JOURNAL OF PRACTICAL NURSING
2012年
6期
9-11
,共3页
赵士静%董立亭%张秀云%韩慧%梁晓芹%白伟
趙士靜%董立亭%張秀雲%韓慧%樑曉芹%白偉
조사정%동립정%장수운%한혜%량효근%백위
危重症患者%气管切开%肺部感染%危险因素%护理策略
危重癥患者%氣管切開%肺部感染%危險因素%護理策略
위중증환자%기관절개%폐부감염%위험인소%호리책략
Critically ill patients%Tracheotomy%Lung infection%Risk factors%Care strategy
目的 分析重症监护室危重患者气管切开肺部感染的危险因素,探讨防止院内肺部感染的护理方法.方法 回顾性分析我院2008年3月至2010年3月ICU出现的94例行气管切开后肺部感染患者的临床资料,将其作为观察组,选取同期行气管切开而未发生肺部感染的100例患者作为对照组,统计2组患者的基础情况、诊治护理方法、环境等情况,对比分析气管切开肺部感染的高危因素,总结重症监护室危重患者气管切开后防止肺部感染的护理方法及要点.结果 呼吸系统疾病、有吸烟史、护理人员年资低、长期使用大量抗生素、应用H2受体阻滞剂及制酸剂、多人同处一间病房等是重症监护室危重患者气管切开肺部感染的高危因素.结论 重症监护室危重患者气管切开后肺部感染受多种因素影响,实际操作过程中,应针对性的避免导致感染发生的治疗护理因素、环境因素,尤其对呼吸系统疾病患者应加强肺部感染的防控.
目的 分析重癥鑑護室危重患者氣管切開肺部感染的危險因素,探討防止院內肺部感染的護理方法.方法 迴顧性分析我院2008年3月至2010年3月ICU齣現的94例行氣管切開後肺部感染患者的臨床資料,將其作為觀察組,選取同期行氣管切開而未髮生肺部感染的100例患者作為對照組,統計2組患者的基礎情況、診治護理方法、環境等情況,對比分析氣管切開肺部感染的高危因素,總結重癥鑑護室危重患者氣管切開後防止肺部感染的護理方法及要點.結果 呼吸繫統疾病、有吸煙史、護理人員年資低、長期使用大量抗生素、應用H2受體阻滯劑及製痠劑、多人同處一間病房等是重癥鑑護室危重患者氣管切開肺部感染的高危因素.結論 重癥鑑護室危重患者氣管切開後肺部感染受多種因素影響,實際操作過程中,應針對性的避免導緻感染髮生的治療護理因素、環境因素,尤其對呼吸繫統疾病患者應加彊肺部感染的防控.
목적 분석중증감호실위중환자기관절개폐부감염적위험인소,탐토방지원내폐부감염적호리방법.방법 회고성분석아원2008년3월지2010년3월ICU출현적94례행기관절개후폐부감염환자적림상자료,장기작위관찰조,선취동기행기관절개이미발생폐부감염적100례환자작위대조조,통계2조환자적기출정황、진치호리방법、배경등정황,대비분석기관절개폐부감염적고위인소,총결중증감호실위중환자기관절개후방지폐부감염적호리방법급요점.결과 호흡계통질병、유흡연사、호리인원년자저、장기사용대량항생소、응용H2수체조체제급제산제、다인동처일간병방등시중증감호실위중환자기관절개폐부감염적고위인소.결론 중증감호실위중환자기관절개후폐부감염수다충인소영향,실제조작과정중,응침대성적피면도치감염발생적치료호리인소、배경인소,우기대호흡계통질병환자응가강폐부감염적방공.
Objective To analyze the risk factors of pulmonary infection for critically ill ICU patients with tracheotomy,and investigate the methods to prevent nosocomial lung infection. Methods 94 patients in ICU with pulmonary infection after tracheotomy from March 2008 to March 2010 were analyzed retrospectively,they were set as the observation group.100 patients in synchronization without pulmonary infection after tracheotomy were set as the control group.The general condition,diagnosis and treatment methods and care,the environment,etc.were studied,the risk factors for nosocomial pulmonary infections after tracheotomy were analyzed.The care methods and points to prevent lung infections for critically ill ICU patients after tracheotomy were summarized. Results The study showed that the respiratory system diseases in critically ill patients,smoking history,low seniority of nursing staff,long-term use of large dose of antibiotics,application of H2 blockers and antacids,and many patients in the same ward were risk factors for critically ill patients with pulmonary infection. Conclusions Lung infection after tracheotomy in critically ill ICU patients was affected by many factors.In the actual operation,we should targeted to avoid infection led by treatment and care factors,environmental factors,control and prevention measures should especially be strengthened for patients with respiratory diseases to prevent lung infection.
