中国实用护理杂志
中國實用護理雜誌
중국실용호리잡지
CHINESE JOURNAL OF PRACTICAL NURSING
2015年
12期
859-864
,共6页
脑出血%肺炎%危险因素%Meta分析
腦齣血%肺炎%危險因素%Meta分析
뇌출혈%폐염%위험인소%Meta분석
Cerebral hemorrhage%Pneumonia%Risk factor%,Meta-analysis
目的 系统评价脑出血患者发生肺部感染的危险因素,为制订预防决策提供依据.方法 计算机检索中国知网(CNKI)、维普中文期刊数据库(VIP)、中国生物医学文献数据库(CBM)、万方数据库(WanFang Data)、PubMed数据库,收集国内外公开发表的关于脑出血患者发生肺部感染危险因素的病例对照或横断面研究,检索时限从1994年1月至2014年10月.结果 共纳入22篇文献,2篇为病例对照研究,20篇为横断面研究.Meta分析结果显示,各危险因素OR值(95％CI)分别为:年龄≥60岁2.64(2.10～3.33)、吸烟史2.05(1.56～2.69)、糖尿病史3.07(2.24～4.19)、慢性肺部疾病史3.36(2.40～4.70)、心脏病史1.54(1.16～2.05)、脑卒中史2.38(1.83～3.08)、意识障碍5.07(3.15～8.16)、出血量≥30 ml 2.78(2.36～3.27)、中线移位2.85(2.22～3.66)、破入脑室2.58(1.60,4.17)、空腹血糖增高2.05(1.67～2.51)等.结论 应针对脑出血患者发生肺部感染的危险因素采取预防措施,从而降低肺部感染的发生率.
目的 繫統評價腦齣血患者髮生肺部感染的危險因素,為製訂預防決策提供依據.方法 計算機檢索中國知網(CNKI)、維普中文期刊數據庫(VIP)、中國生物醫學文獻數據庫(CBM)、萬方數據庫(WanFang Data)、PubMed數據庫,收集國內外公開髮錶的關于腦齣血患者髮生肺部感染危險因素的病例對照或橫斷麵研究,檢索時限從1994年1月至2014年10月.結果 共納入22篇文獻,2篇為病例對照研究,20篇為橫斷麵研究.Meta分析結果顯示,各危險因素OR值(95％CI)分彆為:年齡≥60歲2.64(2.10～3.33)、吸煙史2.05(1.56～2.69)、糖尿病史3.07(2.24～4.19)、慢性肺部疾病史3.36(2.40～4.70)、心髒病史1.54(1.16～2.05)、腦卒中史2.38(1.83～3.08)、意識障礙5.07(3.15～8.16)、齣血量≥30 ml 2.78(2.36～3.27)、中線移位2.85(2.22～3.66)、破入腦室2.58(1.60,4.17)、空腹血糖增高2.05(1.67～2.51)等.結論 應針對腦齣血患者髮生肺部感染的危險因素採取預防措施,從而降低肺部感染的髮生率.
목적 계통평개뇌출혈환자발생폐부감염적위험인소,위제정예방결책제공의거.방법 계산궤검색중국지망(CNKI)、유보중문기간수거고(VIP)、중국생물의학문헌수거고(CBM)、만방수거고(WanFang Data)、PubMed수거고,수집국내외공개발표적관우뇌출혈환자발생폐부감염위험인소적병례대조혹횡단면연구,검색시한종1994년1월지2014년10월.결과 공납입22편문헌,2편위병례대조연구,20편위횡단면연구.Meta분석결과현시,각위험인소OR치(95％CI)분별위:년령≥60세2.64(2.10～3.33)、흡연사2.05(1.56～2.69)、당뇨병사3.07(2.24～4.19)、만성폐부질병사3.36(2.40～4.70)、심장병사1.54(1.16～2.05)、뇌졸중사2.38(1.83～3.08)、의식장애5.07(3.15～8.16)、출혈량≥30 ml 2.78(2.36～3.27)、중선이위2.85(2.22～3.66)、파입뇌실2.58(1.60,4.17)、공복혈당증고2.05(1.67～2.51)등.결론 응침대뇌출혈환자발생폐부감염적위험인소채취예방조시,종이강저폐부감염적발생솔.
Objective To assess the risk factors of pulmonary infection in patients with cerebral hemorrhage,and then to provide references for policy-making.Methods Relative literature of crosssectional or case-control studies about risk factors of pulmonary infection in patients with cerebral hemorrhage was searched by computer in data bases such as CNKI,VIP,CBM,WanFang Data and PubMed from January of 1994 to October 2014.Resluts A total of 22 studies (2 case-control studies and 20 crosssectional studies) were brought into the study.The risk factors' OR and its 95％CI was 2.64(2.10-3.33) for over 60 years of age,2.05(1.56-2.69) for smoking history,3.07(2.24-4.19)for those who have diabetes,3.36 (2.40-4.70) for those who have chronic pulmonary diseases,1.54 (1.16-2.05) for those who have heart diseases,2.38 (1.83-3.08) for those who have a history of stroke,5.07 (3.15-8.16) for disorder of consciousness,2.78(2.36-3.27) for amount of bleeding over 30ml,2.85(2.22-3.66) for deviated from midline,2.58 (1.60-4.17) for breaking into ventricle,2.05(1.67-2.51) for high level of fasting blood sugar respectively,and so on.Conclusions Prophylactic measures can be carried out according to the risk factors of pulmonary infection in patients with cerebral hemorrhage,and then to reduce the incidence rate of pulmonary infection.
