国际护理学杂志
國際護理學雜誌
국제호이학잡지
INTERNATIONAL JOURNAL OF NURSING
2013年
7期
1407-1408,1621
,共3页
颅脑外伤%肺部感染%危险因素%护理对策
顱腦外傷%肺部感染%危險因素%護理對策
로뇌외상%폐부감염%위험인소%호리대책
Craniocerebral trauma%Pulmonary infection%Risk factors%Nursing countermeasures
目的 分析颅脑外伤患者并发医院肺部感染的相关危险因素,并探讨相应的护理对策,以便采取有效的预防控制措施.方法 选择2011年1月至2011年12月医院收治的242例颅脑外伤患者为研究对象,采用前瞻性与回顾性调查相结合的方法,对发生肺部感染的危险因素进行了分析.结果 发生肺部感染64例,感染发生率为26.44％,检出病原菌56株,检出率为87.50％,以革兰阴性菌为主,占69.23％,其中肺炎克雷伯氏菌、铜绿假单胞菌、大肠埃希氏菌分别占19.23％、15.38％、11.53％,革兰氏阳性菌占19.23％,真菌为11.53％.细菌平均耐药率为58.17％；通过对其危险因素分析,其中住院时间、GCS评分、意识障碍、人工机械通气及气管切开、基础疾病、抗菌药物使用等与医院肺部感染的发生密切相关,差异有统计学意义(P＜0.05).结论 医院肺部感染是颅脑外伤患者的主要并发症,应针对相关危险因素采取相应措施,以降低其发生率.
目的 分析顱腦外傷患者併髮醫院肺部感染的相關危險因素,併探討相應的護理對策,以便採取有效的預防控製措施.方法 選擇2011年1月至2011年12月醫院收治的242例顱腦外傷患者為研究對象,採用前瞻性與迴顧性調查相結閤的方法,對髮生肺部感染的危險因素進行瞭分析.結果 髮生肺部感染64例,感染髮生率為26.44％,檢齣病原菌56株,檢齣率為87.50％,以革蘭陰性菌為主,佔69.23％,其中肺炎剋雷伯氏菌、銅綠假單胞菌、大腸埃希氏菌分彆佔19.23％、15.38％、11.53％,革蘭氏暘性菌佔19.23％,真菌為11.53％.細菌平均耐藥率為58.17％；通過對其危險因素分析,其中住院時間、GCS評分、意識障礙、人工機械通氣及氣管切開、基礎疾病、抗菌藥物使用等與醫院肺部感染的髮生密切相關,差異有統計學意義(P＜0.05).結論 醫院肺部感染是顱腦外傷患者的主要併髮癥,應針對相關危險因素採取相應措施,以降低其髮生率.
목적 분석로뇌외상환자병발의원폐부감염적상관위험인소,병탐토상응적호리대책,이편채취유효적예방공제조시.방법 선택2011년1월지2011년12월의원수치적242례로뇌외상환자위연구대상,채용전첨성여회고성조사상결합적방법,대발생폐부감염적위험인소진행료분석.결과 발생폐부감염64례,감염발생솔위26.44％,검출병원균56주,검출솔위87.50％,이혁란음성균위주,점69.23％,기중폐염극뢰백씨균、동록가단포균、대장애희씨균분별점19.23％、15.38％、11.53％,혁란씨양성균점19.23％,진균위11.53％.세균평균내약솔위58.17％；통과대기위험인소분석,기중주원시간、GCS평분、의식장애、인공궤계통기급기관절개、기출질병、항균약물사용등여의원폐부감염적발생밀절상관,차이유통계학의의(P＜0.05).결론 의원폐부감염시로뇌외상환자적주요병발증,응침대상관위험인소채취상응조시,이강저기발생솔.
Objective To analyze the risk factors of nosocomial pulmonary infection in patients with craniocerebral trauma and nursing countermeasures in order to take the effectively prevention measures.Methods Totaled of 242 patients with craniocerebral trauma were selected from January 2011 to December 2011.The combination approach of prospective and retrospective was used to analyze the risk factors of pulmonary infection.Results It showed that 64 cases occurred pulmonary infection and incidence of infection was 26.44％,56 strains pathogenic bacteria were checked out,detection rates was 87.5％,dominated by gram-negative bacteria,69.23％,which Klebsiella pneumoniae,Pseudomonas aeruginosa,Escherichia coli,respectively accounting for 19.23％,11.53％,Gram-positive bacteria and 19.23％ fungi 11.53％.Average rates of drug-resistant bacteria 58.17％.Through analyzing its risk factors,hospitalization days,GCS score,disturbance of consciousness and artificial ventilation and tracheostomy,underlying diseases,antimicrobial use were closely related to pulmonary infections occurred in hospitals,there were statistically significant differences (P ＜ 0.05).Conclusions Hospital pulmonary infection was major complications in patients with craniocerebral trauma,we should take appropriate measures against the risk factors to reduce its incidence.
