CAJ | 학술논문

目的：分析急性脑出血术后罹患院内获得性肺炎的影响因素，观察其对患者预后的影响。方法选择我院自2010年4月至2014年4月收治的175例行急性脑出血手术患者的临床资料，其中术后58例患者罹患院内获得性肺炎，将其作为本次研究的观察组，其余117例患者作为本次研究的对照组患者，观察两组患者发生院内获得性肺炎的相关因素，给予全部患者随访6个月，对比两组患者发生再出血率及病死率情况，探讨其对急性脑出血患者预后的影响。结果两组患者在年龄、吸烟、手术侵入操作(气管插管治疗、气管切开治疗、泌尿道插管治疗)及机械通气时间、ICU住院时间等方面比较，结果具有显著性差异( P<0．05)，给予两组患者为期6个月的随访，对两组患者预后进行比较发现，观察组患者术后发生再出血及病死比例明显高于对照组患者(P<0．05)。结论年龄、吸烟、手术侵入操作(气管插管治疗、气管切开治疗、泌尿道插管治疗)及机械通气时间、ICU住院时间是其危险因素，在治疗上应予以注意，以降低院内获得性肺炎的发生，改善患者预后。
목적：분석급성뇌출혈술후리환원내획득성폐염적영향인소，관찰기대환자예후적영향。방법선택아원자2010년4월지2014년4월수치적175례행급성뇌출혈수술환자적림상자료，기중술후58례환자리환원내획득성폐염，장기작위본차연구적관찰조，기여117례환자작위본차연구적대조조환자，관찰량조환자발생원내획득성폐염적상관인소，급여전부환자수방6개월，대비량조환자발생재출혈솔급병사솔정황，탐토기대급성뇌출혈환자예후적영향。결과량조환자재년령、흡연、수술침입조작(기관삽관치료、기관절개치료、비뇨도삽관치료)급궤계통기시간、ICU주원시간등방면비교，결과구유현저성차이( P<0．05)，급여량조환자위기6개월적수방，대량조환자예후진행비교발현，관찰조환자술후발생재출혈급병사비례명현고우대조조환자(P<0．05)。결론년령、흡연、수술침입조작(기관삽관치료、기관절개치료、비뇨도삽관치료)급궤계통기시간、ICU주원시간시기위험인소，재치료상응여이주의，이강저원내획득성폐염적발생，개선환자예후。
Objective To analyze the influencing factors and prognosis analysis of hospital-acquired pneu-monia after acute cerebral hemorrhage surgery. Methods The clinical data of 175 patients received acute cerebral hemorrhage surgery, among 58 of whom acquired pneumonia as the study group, were retrospectively analyzed. All the patients were followed up for 6 months, and the rate of re-bleeding and mortality were compared between the two groups. Besides, its influence on the prognosis of patients with acute cerebral hemorrhage was discussed. Results There were significant differences in age, smoking, surgery invasive procedures ( endotracheal intubation and trache-otomy, urinary tract intubation) treatment and duration of mechanical ventilation, and duration of ICU stay between the two groups (P<0. 05). The incidence of postoperative bleeding and the mortality were significantly higher in the study group than in the control group (P<0. 05). Conclusion The risk factors of hospital-acquired pneumonia in-clude age, smoking, invasive procedures ( endotracheal intubation and tracheotomy, urinary tract intubation) treat-ment and duration of mechanical ventilation, and duration of ICU stay, which should be paid attention in order to re-duce the occurrence and improve the prognosis of patients.