神经外科医院内肺部感染易感因素的临床分析与防治

The Clinical Analysis and Preventi on for the Nosocomial Pulmonary Inflection in the Neurosurgery

目的:探讨神经外科发生医院内肺部感染的临床特点及防治措施。方法:对2008年1月至2010年12月神经外科1381例医院内肺部感染的病人进行感染率、高危因素、病原体等临床分析。结果:1381例神经外科住院病人,发生肺部感染82人,感染率为5.94%。昏迷、护理措施不到位、侵入性操作、手卫生依从性差等是神经外科医院内肺感染的高危因素,主要病原体为铜绿假单胞菌、肺炎克雷伯菌、产气肠杆菌。结论:神经外科院内肺部感染的防治应采取综合措施,才能减少医院内肺部感染的发生。

Objective：Discuss the clinical characteristics and the preventive measures for the nosocomial pulmonary inflection in the neurosurgery. Methods： The clinical analysis was conducted on cases of 1381 patients suffering from lung infection from 2008.1 to 2010.12 from the perspective of the inflection rate, high-risk factors, and pathogen, etc. Results：Among these 1381 neurosurgery patients, 82 suffer from lung inflection. The inflection rate is 5.94%. The factors leading to the lung inflection in the neurosurgery include coma, ineffective nursing measures, invasive procedures and poor hand hygiene compliance, etc. The main pathogen is Pseudomonas aeruginosa pneumonia, Cray, bacterium, Enterobacter aerogenes. Conclusion： It is suggested to take comprehensive measures to reduce the rate of the nosocomial pulmonary inflection in the neurosurgery.