中国实用医刊
中國實用醫刊
중국실용의간
Chinese Journal of Practical Medicine
2015年
21期
27-28
,共2页
颅脑损伤%重型%吸烟%肺部感染%相关性分析
顱腦損傷%重型%吸煙%肺部感染%相關性分析
로뇌손상%중형%흡연%폐부감염%상관성분석
Traumatic brain injury%Severe%Smoking%Pulmonary infection%Correlation analysis
目的：研究重型颅脑损伤患者肺部感染与吸烟的关系。方法研究分析商丘市第一人民医院收入治疗的231例重型颅脑损伤患者的病情等资料，根据患者是否发生肺部感染，将本组患者分成感染组和非感染组，感染组42例，非感染组189例。调查两组患者的基本资料，分析吸烟与肺部感染之间的相关性。结果感染组患者吸烟率为64．3％，非感染组患者吸烟率为33．9％，则感染组患者的吸烟率明显高于非感染组（χ2＝12．36，P＜0．01）；感染组患者在吸烟时间T≤3年、3＜T≤6年、6＜T≤9年、T＞9年的四个时间段中，吸烟人数和比例均明显高于非感染组（ P＜0．05）；单因素结果分析，吸烟是导致重型颅脑损伤患者发生肺部感染的主要因素。结论对于重型颅脑损伤患者，吸烟是诱发肺部感染的主要原因，吸烟能够大大提高其肺部感染率，同时患者的吸烟时间越久，肺感染风险越大，因此，有必要实行全民控烟。
目的：研究重型顱腦損傷患者肺部感染與吸煙的關繫。方法研究分析商丘市第一人民醫院收入治療的231例重型顱腦損傷患者的病情等資料，根據患者是否髮生肺部感染，將本組患者分成感染組和非感染組，感染組42例，非感染組189例。調查兩組患者的基本資料，分析吸煙與肺部感染之間的相關性。結果感染組患者吸煙率為64．3％，非感染組患者吸煙率為33．9％，則感染組患者的吸煙率明顯高于非感染組（χ2＝12．36，P＜0．01）；感染組患者在吸煙時間T≤3年、3＜T≤6年、6＜T≤9年、T＞9年的四箇時間段中，吸煙人數和比例均明顯高于非感染組（ P＜0．05）；單因素結果分析，吸煙是導緻重型顱腦損傷患者髮生肺部感染的主要因素。結論對于重型顱腦損傷患者，吸煙是誘髮肺部感染的主要原因，吸煙能夠大大提高其肺部感染率，同時患者的吸煙時間越久，肺感染風險越大，因此，有必要實行全民控煙。
목적：연구중형로뇌손상환자폐부감염여흡연적관계。방법연구분석상구시제일인민의원수입치료적231례중형로뇌손상환자적병정등자료，근거환자시부발생폐부감염，장본조환자분성감염조화비감염조，감염조42례，비감염조189례。조사량조환자적기본자료，분석흡연여폐부감염지간적상관성。결과감염조환자흡연솔위64．3％，비감염조환자흡연솔위33．9％，칙감염조환자적흡연솔명현고우비감염조（χ2＝12．36，P＜0．01）；감염조환자재흡연시간T≤3년、3＜T≤6년、6＜T≤9년、T＞9년적사개시간단중，흡연인수화비례균명현고우비감염조（ P＜0．05）；단인소결과분석，흡연시도치중형로뇌손상환자발생폐부감염적주요인소。결론대우중형로뇌손상환자，흡연시유발폐부감염적주요원인，흡연능구대대제고기폐부감염솔，동시환자적흡연시간월구，폐감염풍험월대，인차，유필요실행전민공연。
Objective To study the correlation of lung infection in patients with severe traumatic brain injury with the incidence of smoking.Methods Analyzed the data of 231 cases of Severe traumatic brain injury patients treated in the first people’ s hospital of Shangqiu, and divided into infection groups and non-infected group based on whether the patient pulmonary infection,with 42 cases in infection group and 189 cases in non-infected group.Analyzed the correlation of smoking with lung infections on basis of the information of the patients.Results The smoking rate of the infection group was 64.3%, which was significantly higher than that of non-infected group ( 33.9%, χ2 =12.36 , P<0.01 ); the number and proportion of smokers of infected patients in the smoking time T≤3 years, 3 years<T≤6 years, 6 years<T≤9 years, T>9 years were all significantly higher than non-infected group( P<0.05);through an-alyzing the results of univariate, smoking was a major factor leading to the occurrence of lung infection of severe traumatic brain injury patients.Conclusions For patients with severe traumatic brain injury, smoking-induced lung infection is the main reason that can greatly improve their lung infection, while patients with longer duration of smoking, the greater the risk of lung infections, and therefore, it is nec-essary to implement the National Tobacco Control.
