中华器官移植杂志
中華器官移植雜誌
중화기관이식잡지
CHINESE JOURNAL OF ORGAN TRANSPLANTATION
2012年
4期
225-228
,共4页
李壮江%孙煦勇%聂峰%苏庆东%王慧英%罗海凤%周洁惠
李壯江%孫煦勇%聶峰%囌慶東%王慧英%囉海鳳%週潔惠
리장강%손후용%섭봉%소경동%왕혜영%라해봉%주길혜
肾移植%肺部感染%诱因
腎移植%肺部感染%誘因
신이식%폐부감염%유인
Kidney transplantation%Lung infection%Causes
目的 探讨肾移植术后肺部感染的常见诱因,并通过有针对性的预防措施减少肺部感染发生率.方法 回顾性分析2006年1月至2011年2月期间561例肾移植受者的临床资料,将受者分为两组.Ⅰ组:2006年1月至2009年12月接受肾移植,416例；Ⅱ组:2010年1月至2011年2月接受肾移植,145例.对Ⅰ组并发感染者在出现临床症状前3d内的可能导致呼吸道感染的诱因进行询问和记录,然后汇总分析.根据分析结果,制定一系列有针对性的、综合性的感染预防措施,Ⅱ组受者自2010年1月开始采用该措施,在应用14个月后对肺部感染发生率进行统计分析,并与Ⅰ组比较,观察预防效果.结果 Ⅰ组有58例受者出院后并发肺部感染,感染发生率为13.9％(58/416);Ⅱ组有12例并发肺部感染,感染发生率为8.3％(12/145),两组间肺部感染发生率的比较,差异有统计学意义(x2 =4.0361,P＜0.05).两组肺部感染的发生时间均在术后6个月内.Ⅰ组58例肺部感染患者的诱因包括过度劳累6例,访客3例,出入公共场所9例,接触动物5例,接触儿童6例,天气骤变12例,以及医院内感染8例,其余9例诱因不明.结论 通过对肺部感染的具体诱因人手进行分析,并采取有针对性的具体的卫生宣教和预防措施,可显著减少肾移植术后肺部感染的发生率.
目的 探討腎移植術後肺部感染的常見誘因,併通過有針對性的預防措施減少肺部感染髮生率.方法 迴顧性分析2006年1月至2011年2月期間561例腎移植受者的臨床資料,將受者分為兩組.Ⅰ組:2006年1月至2009年12月接受腎移植,416例；Ⅱ組:2010年1月至2011年2月接受腎移植,145例.對Ⅰ組併髮感染者在齣現臨床癥狀前3d內的可能導緻呼吸道感染的誘因進行詢問和記錄,然後彙總分析.根據分析結果,製定一繫列有針對性的、綜閤性的感染預防措施,Ⅱ組受者自2010年1月開始採用該措施,在應用14箇月後對肺部感染髮生率進行統計分析,併與Ⅰ組比較,觀察預防效果.結果 Ⅰ組有58例受者齣院後併髮肺部感染,感染髮生率為13.9％(58/416);Ⅱ組有12例併髮肺部感染,感染髮生率為8.3％(12/145),兩組間肺部感染髮生率的比較,差異有統計學意義(x2 =4.0361,P＜0.05).兩組肺部感染的髮生時間均在術後6箇月內.Ⅰ組58例肺部感染患者的誘因包括過度勞纍6例,訪客3例,齣入公共場所9例,接觸動物5例,接觸兒童6例,天氣驟變12例,以及醫院內感染8例,其餘9例誘因不明.結論 通過對肺部感染的具體誘因人手進行分析,併採取有針對性的具體的衛生宣教和預防措施,可顯著減少腎移植術後肺部感染的髮生率.
목적 탐토신이식술후폐부감염적상견유인,병통과유침대성적예방조시감소폐부감염발생솔.방법 회고성분석2006년1월지2011년2월기간561례신이식수자적림상자료,장수자분위량조.Ⅰ조:2006년1월지2009년12월접수신이식,416례；Ⅱ조:2010년1월지2011년2월접수신이식,145례.대Ⅰ조병발감염자재출현림상증상전3d내적가능도치호흡도감염적유인진행순문화기록,연후회총분석.근거분석결과,제정일계렬유침대성적、종합성적감염예방조시,Ⅱ조수자자2010년1월개시채용해조시,재응용14개월후대폐부감염발생솔진행통계분석,병여Ⅰ조비교,관찰예방효과.결과 Ⅰ조유58례수자출원후병발폐부감염,감염발생솔위13.9％(58/416);Ⅱ조유12례병발폐부감염,감염발생솔위8.3％(12/145),량조간폐부감염발생솔적비교,차이유통계학의의(x2 =4.0361,P＜0.05).량조폐부감염적발생시간균재술후6개월내.Ⅰ조58례폐부감염환자적유인포괄과도로루6례,방객3례,출입공공장소9례,접촉동물5례,접촉인동6례,천기취변12례,이급의원내감염8례,기여9례유인불명.결론 통과대폐부감염적구체유인인수진행분석,병채취유침대성적구체적위생선교화예방조시,가현저감소신이식술후폐부감염적발생솔.
Objective To analyze the common causes leading to lung infection following renal transplantation and provide targeted preventive measures to reduce the incidence of lung infection.Methods The clinical data of 561 recipients who underwent renal transplantation from January 2006 to February 2011 were retrospectively analyzed.The recipients were divided into two groups:group Ⅰ,from January 2006 to December 2009 (n =416) ; group Ⅱ,from January 2010 to February 2011 (n =145).The causes possibly leading to lung infection which took place 3 days before the appearance of the clinical symptoms were offered by the patients who suffered lung infection of group Ⅰ.And then the causes were summarized and analyzed to formulate the specific and comprehensive measures to prevent the infection.Finally the measures were applied to recipients in group Ⅱ from January 2010.After applying the measures for 14 months,the incidence of lung infection in group Ⅱ was counted and compared with that in group Ⅰ to see the preventive effect.Results There were 58 cases of lung infection in group Ⅰ (58/416,13.9％) and 12 cases in group Ⅱ (12/145,8.3％). There was significant difference in the incidence of lung infection between two groups (x2 =4.0361,P＜0.05).All of the recipients with lung infection were hospitalized in six months after the transplantation.The causes leading to lung infection of 58 cases in group Ⅰ were as follows:6 cases due to being excessively tired,3 cases due to guest visiting,12 cases due to abrupt change of weather,9 cases due to exposure to public place,8 cases due to returning to hospital,6 cases due to close contact with children,5 cases due to close contact with animals,and the other 9 cases without specific causes found.Conclusion The incidence of lung infection following renal transplantation can be notably reduced by the application of targeted and concrete health propaganda education and preventive measures based on analysis on the specific causes of infection.
