CAJ | 학술논문

目的：对酒精戒断综合征患者发生医院内肺部感染的原因进行分析，为临床预防提供参考。方法调查2010-01—2014-01在解放军第406医院精神科住院的酒精戒断综合征患者367例，对发生医院内肺部感染的临床资料进行统计分析。结果367例酒精戒断综合征患者，发生肺部感染者为87例，感染率为23.71%。肺部感染的病原菌以革兰氏阴性杆菌为主，占78.69%，其中绿铜假单胞菌、鲍曼不动杆菌、肺炎克雷伯菌、大肠埃希菌为主要病原菌；饮酒年限＞30年组发生肺部感染率为44.95%；日酒精摄入量＞600 g组发生肺部感染率为41.49%；年龄＞50岁组发生肺部感染率为最高，占51.61%。结论酒精戒断综合征患者医院内肺部感染发生率较高，病原菌多以革兰氏阴性杆菌为主，感染率与患者饮酒年限、日酒精摄入量及患者年龄呈正相关。积极治疗原发病、增强患者机体抵抗能力、合理使用抗生素是预防酒精戒断综合征患者发生医院内肺部感染的有效方法。
목적：대주정계단종합정환자발생의원내폐부감염적원인진행분석，위림상예방제공삼고。방법조사2010-01—2014-01재해방군제406의원정신과주원적주정계단종합정환자367례，대발생의원내폐부감염적림상자료진행통계분석。결과367례주정계단종합정환자，발생폐부감염자위87례，감염솔위23.71%。폐부감염적병원균이혁란씨음성간균위주，점78.69%，기중록동가단포균、포만불동간균、폐염극뢰백균、대장애희균위주요병원균；음주년한＞30년조발생폐부감염솔위44.95%；일주정섭입량＞600 g조발생폐부감염솔위41.49%；년령＞50세조발생폐부감염솔위최고，점51.61%。결론주정계단종합정환자의원내폐부감염발생솔교고，병원균다이혁란씨음성간균위주，감염솔여환자음주년한、일주정섭입량급환자년령정정상관。적겁치료원발병、증강환자궤체저항능력、합리사용항생소시예방주정계단종합정환자발생의원내폐부감염적유효방법。
Objective To analyze the causes of hospital pulmonary infection among sufferers with alcohol withdraw-al syndrome so as to provide reference for clinical prevention .Methods 367 sufferers with alcohol withdrawal syn-drome hospitalized at the psychiatric department of our sanatorium from January 2010 to January 2014 were investigat-ed ,and the clinical data of hospital pulmonary infection were statistically analyzed .Results In 367 sufferers with alco-hol withdrawal syndrome,87 cases suffered from pulmonary infection with a total infection rate of 23 .71% .The pathogenic bacteria of pulmonary infection mainly focused on gram-negative bacilli,accounting for 78 .69% .The main pathogenic bacteria among themwere Pseudomonas A eruginasa,B auman A cinetobacter,K lebsiella Pneumoniae,and Es-cherichia Colirespectively.The incidence of pulmonary infection in the group of drinking periodover 30 years was 44 .95% ;the incidence of pulmonary infection in the group of daily alcohol intake over 600 g was 41 .49% ;the inci-dence of pulmonary infection in the group of over 50 years old was the highest,accounting for 51 .61% .Conclusion H ospital pulmonary infection incidence in sufferers with alcohol with drawal syndrome is quite high .The pathogenic bac-teria of pulmonary infection mainly is gram-negative bacilli.The infection rate is positively related to period of drink , daily alcohol intake,and the age of sufferers.A ctive treatment of the primary diseases,continuous improvement of the patients'physique and resistant ability,and rational usage of antibiotics is an effective method for the prevention of hos-pital pulmonary infection among sufferers with alcohol withdrawal syndrome.