中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2014年
13期
118-118,119
,共2页
重症脑出血%ICU%肺部感染%原因分析
重癥腦齣血%ICU%肺部感染%原因分析
중증뇌출혈%ICU%폐부감염%원인분석
Acute intracerebral hemorrhage%Intensive care unit%Hospital acquired pneumonia%Factor analyze
目的：探讨重症脑出血患者ICU院内肺部感染原因及治疗措施。方法：回顾性分析2010年1月-2012年1月于笔者所在医院ICU治疗的120例重症脑出血患者的临床资料。其中将合并院内肺部感染的42例作为观察组，未发生院内肺部感染的78例作为对照组，分析肺部感染的原因以及相应的治疗措施。结果：观察组患者平均年龄(60.8±1.8)岁，明显大于对照组的(49.3±2.6)岁(P<0.05)；观察组患者平均ICU住院时间(12.2±1.0)d，明显长于对照组的(8.6±0.7)d(P<0.05)；观察组患者平均呼吸机使用时间(7.3±1.6)d，明显长于对照组的(5.3±1.1)d(P<0.05)；观察组患者气管切开插管率61.9%(26/
目的：探討重癥腦齣血患者ICU院內肺部感染原因及治療措施。方法：迴顧性分析2010年1月-2012年1月于筆者所在醫院ICU治療的120例重癥腦齣血患者的臨床資料。其中將閤併院內肺部感染的42例作為觀察組，未髮生院內肺部感染的78例作為對照組，分析肺部感染的原因以及相應的治療措施。結果：觀察組患者平均年齡(60.8±1.8)歲，明顯大于對照組的(49.3±2.6)歲(P<0.05)；觀察組患者平均ICU住院時間(12.2±1.0)d，明顯長于對照組的(8.6±0.7)d(P<0.05)；觀察組患者平均呼吸機使用時間(7.3±1.6)d，明顯長于對照組的(5.3±1.1)d(P<0.05)；觀察組患者氣管切開插管率61.9%(26/
목적：탐토중증뇌출혈환자ICU원내폐부감염원인급치료조시。방법：회고성분석2010년1월-2012년1월우필자소재의원ICU치료적120례중증뇌출혈환자적림상자료。기중장합병원내폐부감염적42례작위관찰조，미발생원내폐부감염적78례작위대조조，분석폐부감염적원인이급상응적치료조시。결과：관찰조환자평균년령(60.8±1.8)세，명현대우대조조적(49.3±2.6)세(P<0.05)；관찰조환자평균ICU주원시간(12.2±1.0)d，명현장우대조조적(8.6±0.7)d(P<0.05)；관찰조환자평균호흡궤사용시간(7.3±1.6)d，명현장우대조조적(5.3±1.1)d(P<0.05)；관찰조환자기관절개삽관솔61.9%(26/
Objective:To analyze the risk factors and therapeutic schedule of hospital-acquired pneumonia with acute intracerebral hemorrhage in ICU. Method:120 cases of severe cerebral hemorrhage patients in ICU in our hospital from January 2010 to January 2012 were selected.42 cases of patients merged with nosocomial infection in the lungs were selected as observation group,and 78 cases of patients without nosocomial infection in the lungs were selected as control group.The cause of pulmonary infection and appropriate therapeutic measures were analyzed.Result:The average age of observation group was (60.8±1.8) years, significantly higher than control group (49.3±2.6)years,the difference was statistically significant(P<0.05).The patients mean ICU stay time of observation group was (12.2±1.0)days,significantly longer than control group(8.6±0.7)days(P<0.05).The mean ventilation time of observation group was (7.3±1.6)days, was significantly longer than control group(5.3±1.1)days(P<0.05).The tracheotomy patients rate of observation group was 61.9%(26/42),was shorter than control group(P<0.05).The smoking history of observation group was 57.1%(24/42),was significantly higher than control group 26.9%(21/78)(P<0.05).Conclusion:The hospital-acquired pneumonia morbidity of the patients combined acute cerebral hemorrhage in ICU is high,the invasive operation times should be reduced,the patients should be extubated as early as possible to avoid prolonged hospitalization in the ICU,so that this can effectively reduce the incidence of lung infection.
