CAJ | 학술논문

目的：针对颅脑外伤重症监护患者合并非感染的危险因素进行分析。方法随机选择2013年2月-2014年2月期间，该院重症监护科室收治的颅脑外伤重症监护患者80例，其中合并肺部感染患者40例，无肺部感染患者40例，作为该次研究的对象，合并肺部感染患者为观察组，无肺部感染患者为对照组，对两组患者的肺部感染危险因素进行分析比较。结果观察组与对照组患者的影响颅脑外伤重症监护患者合并非感染发生的危险因素中的年龄﹑昏迷﹑脱水剂使用﹑休克﹑意识障碍﹑激素应用﹑机械通气﹑开放性脑外伤﹑饮酒﹑吸烟﹑营养不良﹑肺部疾病﹑气管切开等，差异有统计学意义(P<0.05)。结论颅脑外伤重症监护患者合并肺感染发生的危险因素有很多，有患者自身的因素﹑有药物因素﹑有诊疗因素等，重症监护室是感染发生的高危场所，需要采取有效的措施进行预防，降低颅脑外伤重症监护患者的合并肺感染发生率。
목적：침대로뇌외상중증감호환자합병비감염적위험인소진행분석。방법수궤선택2013년2월-2014년2월기간，해원중증감호과실수치적로뇌외상중증감호환자80례，기중합병폐부감염환자40례，무폐부감염환자40례，작위해차연구적대상，합병폐부감염환자위관찰조，무폐부감염환자위대조조，대량조환자적폐부감염위험인소진행분석비교。결과관찰조여대조조환자적영향로뇌외상중증감호환자합병비감염발생적위험인소중적년령﹑혼미﹑탈수제사용﹑휴극﹑의식장애﹑격소응용﹑궤계통기﹑개방성뇌외상﹑음주﹑흡연﹑영양불량﹑폐부질병﹑기관절개등，차이유통계학의의(P<0.05)。결론로뇌외상중증감호환자합병폐감염발생적위험인소유흔다，유환자자신적인소﹑유약물인소﹑유진료인소등，중증감호실시감염발생적고위장소，수요채취유효적조시진행예방，강저로뇌외상중증감호환자적합병폐감염발생솔。
Objective To analyze the risk factors of craniocerebral trauma intensive care patients complicated by pulmonary in-fection. Methods 80 cases with craniocerebral trauma admitted in the intensive care unit (ICU) of our hospital from February 2013 to February 2014 were randomly selected as the subjects of this study. Of them, 40 cases with pulmonary infection were selected as the observation group, and 40 cases without pulmonary infection were selected as the control group. And the risk factors of pul-monary infection were compared and analyzed between the two groups. Results Of the risk factors of craniocerebral trauma inten-sive care patients with pulmonary infection, the differences in age, coma, use of dehydrating agent, shock, disturbance of con-sciousness, hormone application, mechanical ventilation, open brain injury, drinking, smoking, poor nutrition, lung disease, tra-cheotomy and so on between the observation group and the control group were statistically significant, P<0.05. Conclusion There are many risk factors related to craniocerebral trauma intensive care patients complicated by pulmonary infection, such as the pa-tient's own factors, drug factors, diagnosis and treatment, and so forth. The ICU is a high-risk place of infection, and effective measures are needed to be taken to prevent the infection so as to reduce the incidence of craniocerebral trauma intensive care pa-tients with pulmonary infection.