重型颅脑外伤患者肺部医院感染的危险因素和监控研究

Lung Hospital Infection for Severe Traumatic Brain Injury Patients in ICU-Risk Factor Analysis

目的探讨重症监护病房(ICU)重型颅脑外伤患者肺部医院感染的危险因素,探索其预防和控制的措施。方法对我院2001年1月～2004年12月的755例重症颅脑外伤ICU患者,肺部感染危险因素的分析。结果医院感染率为33.04%,例次感染率42.6%;引起肺部医院感染有显著性意义的危险因素有高龄、住院时间过长,呼吸机运用、气管切开、休克、基础病、激素等。结论针对危险因素,采取有效措施降低感染率。

OBJECTIVE To investigate the risk factors and preventive measurement for respiratory infection in ICU patients for severe traumatic brain injury. METHODS A total of 755 cases of patients with respiratory infection in ICU from Jan 2001 to Dec 2004 were retrospectively analyzed, and respiratory infection factors were summarized. RESULTS Hospital infection rate was 33.4%,case infection rate was 42.6%;risk factors prone to hospital (infection) were aging, long hospitalization, respiratory machine application, respiratory tract inicison, shock, (hormone) use and underlying disease. CONCLUSIONS According to different risk factors, effective measurement could decrease the hospital infection rate.