颅脑损伤昏迷患者医院内感染及护理干预

Craniocerebral trauma coma patients nosocomial infections and nurse interference

目的探讨颅脑损伤昏迷患者院内感染的有关因素及干预措施。方法对2006年1月—2009年1月96例颅脑损伤昏迷患者的临床资料进行分析。结果呼吸道感染、泌尿系感染、呼吸道合并泌尿系感染、中枢系统感染、消化道感染的医院感染发生率分别为:45.03%,21.02%,16.60%,7.73%,3.2%.结论颅脑损伤昏迷患者院内感染常见部位为呼吸道、泌尿系,应认真遵守无菌原则,做好病区管理,加强翻身、叩背,合理应用抗生素,提高机体抵抗力,从而减少昏迷患者医院感染的发生。

Objective To discuss craniocerebral trauma coma patients,nosocomial infections,relative factors as well as interfere measures.Methods 96 coma patients were analyzed during the period from January,2006 to January,2009.Results The nosocomial infections incidence in respiratory,urine,urine plus respiratory,central nervous system is respectively 45.03%,21.02%,16.60%,7.73%and 3.2%.Conclusion The common nosocomial infection sites of craniocerebral trauma are respiratory and urine system.The nosocomial infection incidence can be reduced by following measures,such as observing aseptic discipline,better department management,strengthen turning body and burping,rationally applying antibiotic,improving body immunology.