集束化干预措施对脑卒中并发肺部感染的影响

Effect of bundle interventions on lung infection in stroke patients

目的探讨集束化干预措施对脑卒中并发肺部感染的影响。方法将2010年1-10月168例脑卒中患者作为干预组,2009年1-12月病情类似的156例脑卒中患者作为对照组,观察两组患者医院肺部感染发生率、住院时间、死亡率。结果肺部感染率干预组为14.9%,对照组为30.1%,两者比较,差异有统计学意义(2χ=10.85,P<0.01),病死率干预组为9.5%,对照组为24.4%,差异有统计学意义(2χ=12.77,P<0.01),干预组病房平均住院时间为(30±15)d,对照组病房平均住院时间为(33±16)d,两组平均住院时间比较,差异无统计学意义。结论集束化干预措施对预防脑卒中并发肺部感染有效,能降低脑卒中病死率,值得大力推广。

OBJECTIVE To assess the effect of bundle interventions on hospital acquired pneumonia（HAP） in stroke patients.METHODS A total of 168 cases of stroke patients from Jan to Oct 2010 were set as intervention group,and 156 cases with the same empedic from Jan to Dec 2009 were set as control group,then the incidence,hospital stay and mortality of the two groups were observed.RESULTS The pulmonary infection rate was 14.9% in intervention group and was 30.1% in control group,the difference was statistically significant,and the mortality was 9.5% in intervention group and was 24.4% in control group,the difference was statistically significant（0.01）,the mean hospital stay was（30±15）d and was（33±16）d（P0.05）.CONCLUSION Bundle interventions is effective in preventing HAP and can reduce stroke mortality,it is worth promoting.