摘要
目的探讨影响冠状动脉搭桥术(CABG)后肺部感染的相关危险因素及护理干预措施,以降低术后肺部感染率,提供治疗有效率。方法回顾性分析2005年5月-2008年1月67例行CABG患者的完整临床资料,按是否合并肺部感染分为非感染组(55例)与感染组(12例),统计分析影响术后肺部感染的相关危险因素;对2008年2月-2012年1月71例行CABG的患者给予护理干预,比较干预前后肺部感染的发病率。结果血糖、低蛋白血症、机械通气时间、气管切开、心功能不全及肺源性因素是影响CABG术后肺部感染的危险因素;护理干预后CABG术后肺部感染率为5.63%,显著低于干预前的17.91%,差异有统计学意义(P<0.05)。结论针对影响CABG术后肺部感染的各种危险因素采取护理干预,可降低肺部感染的发病率,达到满意的疗效。
OBJECTIVE To discuss the risk factors and nursing intervention measures of pulmonary infections after the coronary artery bypass graft (CABG) so as to reduce the in cidence of postoperatiue pulmonary infections and improve the treatment efficaey. METHODS Retrospective analysis of clinical data of 67 patients who underwent CABG from May 2005 to Jan 2008 was performed,according to the condition of pulmonary infections, the patients were divided into the non-infection group (n=55) and the infection group (n= 12), then the related risk factors for postoperative pulmonary infections were statistically analyzed; the nursing interventions were given to 71 patients undergoing CABG from Feb to Jan 2012 , the incidence rate of pulmonary infections before and after the intervention was compared. RESULTS The blood glucose, hypoalbuminemia, mechanical ventilation duration, tracheotomy, cardiac dysfunction and pulmonale factors were the risk factors for pulmonary infections after CABG; the incidence of pulmonary infections of postoperative CABG was 5.63 % after the nursing interventions, significantly lower than 17.91%before the nursing interventions, the difference was statistically significant (P〈 0.05). CONCLUSION According to the various risk factors for pulmonary infections, the nursing interventions should betaken to reduce the incidence of pulmonary infections so as to meet the satisfying effect.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2012年第23期5272-5274,共3页
Chinese Journal of Nosocomiology
关键词
冠状动脉搭桥术
感染
护理干预
Coronary atherosclerotic heart disease
Infection
Nursing intervention