脑外伤患者发生院内肺部感染的危险因素及预防研究

Study on Risk Factors and Prevention of Nosocomial Pulmonary Infection in Brain Injury Patients

目的探讨脑外伤患者发生院内肺部感染的危险因素,以针对危险因素加强临床预防措施。方法回顾性分析保定市第一医院2010年6月-2011年6月收治的97例脑外伤患者的临床资料,统计院内肺部感染的发生率并分析发生的危险因素。结果脑外伤患者院内肺部感染发生率为18.6%(18/97),其发生与患者性别、体重、置尿管无明显关系(P>0.05),而受到患者年龄、格拉斯哥评分、激素应用、机械通气、气管切开、抗生素联用、置胃管的影响(P<0.05)。结论临床上应注意脑外伤患者发生院内肺部感染的危险因素并采取针对性的预防措施,降低院内肺部感染发生率,促进患者的康复。

Objective To explore the risk factors of nosocomial pulmonary infection in brain injury patients, and to strengthen the clinical preventive measures. Methods The clinical data of 97 brain injury patients hospitalized in the First Hospital of Baoding City from June 2010 to June 2011 were analyzed retrospectively. The incidence rate of nosocomial pulmonary infection was calculated and the risk factors were analyzed. Results The incidence rate of nosocomial pulmonary infection in brain injury patients was 18.6 % （18/97）. The disease occurrence was not correlated with sex, weight and urinary catheter （P 〉 0.05）, but correlated with patient＇ s age, the score of Glasgow Coma Scale, hormone application, mechanical ventilation, tracheal cut, antibiotic combinations, and gastric tube （P 〈 0.05）. Conclusions It should be noted the risk factors of nosocomial pulmonary infection of brain injury patients in clinical practice, and the clinicians should take appropriate preventive measures to reduce the incidence of nosocomial pulmonary infection and promote the rehabilitation of the patients.