截瘫患者医院肺部感染相关因素分析及预防

目的:探讨截瘫患者医院肺部感染相关因素及有效预防措施。方法:2003～2009年收治截瘫患者235例,对其进行回顾性分析,对可能医院肺部感染相关的因素进行对比分析。结果:235例截瘫患者医院肺部感染41例,感染率17.8%,其发生与年龄、慢性肺病史、吸烟史、气管切开、卧床、截瘫部位及程度等因素有关。结论:严格掌握抗菌药物使用原则、注意无菌操作、掌握气管切开适应证及时机、控制医源性感染因素、监测病原体、加强呼吸道护理和各项基础护理可有效预防截瘫患者医院肺部感染。

Obdective： To investigate the related factors and effective prevention measure of nosocomial pulmonary infection among Paralytics. Methods：etrospective study was made on the data of 253 patients with paralysis admitted to hospital from January 2003 to December 2009. The possible factors related to nosocomial pulmonary infection were analyzed comparatively. Results： The data of nosocomial pulmonary infection of the patients was 41, and the incidence was 31.5%. Patient＇s age,chronic pulmonary disease, smoking history, respiratory tract incision,longterm bed and the lesion part and degree of paralysis were related to nosocomial pulmonary infection. Conclusion： Strictly following principles of using antibacterial drugs and aseptic operation, controlling the indication and time of respiratory tract incision and factors of iatrogenic infection, monitoring pathogens, strengthening the care of basic nursing and respiratory tract can effectively prevent nosocomial pulmonary infection.