180例内科住院患者肺部感染的相关危险因素分析及舒适护理

The Risk Factors Analysis and Comfortable Nursing of 180 Hospitalized Medical Patients with Pulmonary Infection

目的探讨内科住院患者肺部感染的相关危险因素,为进行舒适护理提供依据。方法选择我院2009年1月～2011年12月内科住院患者共180例,32例出现肺部感染的患者为观察组,其他148例非肺部感染的患者为对照组,对观察组患者进行病原菌分析;同时分别统计两组的临床观察数据。结果观察组32例共分离到致病菌40株,其中革兰阴性杆菌占75.0%。肺部感染的发生与气管切开/机械通气时间、年龄、基础疾病评分、抗生素应用、低蛋白血症这些因素密切相关(P<0.01或P<0.05)。结论内科住院患者肺部感染的相关危险因素主要有年龄、机械通气时间和使用抗生素等,要根据以上危险因素加强针对性的舒适护理,避免交叉感染。

Objective To investigate the risk factors of hospitalized medical patients with pulmonary infection,so as to provide evidence for comfortable nursing. Methods Selected 180 hospitalized medical patients from January 2009 to December 2011 in our hospital,32 cases of lung infection were classified as the observation group, 148 cases of non-pulmonary infection were classified as the control group, the observation group was given for pathogen analysis, and recorded clinical observation data of the observation group and the control group. Results 40 pathogens were isolated from 32 cases of the observation group that the gram-negative bacilli accounted for 75.0%. The occurrence of lung infections related to the risk factors such as tracheotomy underlying disease score, use of antibiotics, hypoproteinemia （ P〈0. 01 or P〈0. 05 ） factors associated with lung infection include patients age, duration of mechanica mechanical ventilation, age, Conclusions The main risk ventilation and the use of antibiotics,we should accord to the above risk factors to strengthen targeted comfort nursing to avoid cross- contamination.