颅脑损伤术后医院获得性肺部感染调查及护理措施

Nosocomial Pulmonary Acquired Infection of Craniocerebral trauma after Operation:Survey Analysis and Nurseing

目的调查分析颅脑损伤术后患者获得性医院内肺部感染的发病率及相关因素,探讨行之有效的预防对策。方法采用回顾性调查的方法,对2005年1月-2007年1月住院的280例颅脑损伤术后患者进行肺部感染发生率及各相关因素的调查。结果280例颅脑损伤术后患者肺部感染率为18.2%,感染组死亡率为38.7%,非感染组死亡率为13.7%;医院内获得性肺部感染危险因素主要是老年患者免疫力低下、住院时间长、全麻插管、气管切开、呼吸机的使用。结论颅脑损伤术后患者肺部感染发病率、死亡率较高,应明确预防感染的重要性,针对主要危险因素采取相应的防护措施,进行综合管理,重点防控,同时提高医护质量,降低肺部感染的发病率和死亡率。

OBJECTIVE To analyze the morbility of nosocomial pulmonary acquired infection and related factors after operation of head injury,and inquire into effective countermeasures. METHODS By methods of retrospective investigation, 280 patients in hospital form Jan 2005 investigated on mortality rates of pulmonary infection infection was 18. 2% in 280 patients, the death rate to Jan 2007 operated for craniocerebral trauma had and related factors RESULTS The rates of pulmonary was 38. 7% in infected group, and group 13. 7% in uninfected. The risk factors of nosocomial pulmonary infection were lower immunity among elderly patients, longtime in hospital, general anesthesia intubation, trachea incision and the use of respiraters. CONCLUSIONS The mortality and morbidity rates of pulmonary infection are both higher for the head injury patients. It＇s important to prevent infection. According to the main risk factors, to take corresponding protection measures, comprehensive supervision,and emphasis enhencing prevention and control; meanwhile to improve the quality of treatment and nurse,and reduce morbility and death rates of pulmonary infection.