人工气道下呼吸道感染危险因素分析及护理策略

The Risk Factors and Intervention of Lower Respiratory Infection in Rescue with Artificial Airway

目的:研究本院人工气道后下呼吸道感染的相关危险因素,并提出针对性的护理干预措施,降低感染率。方法:分析我院2011年9月至2013年9月各科室抢救实施建立人工气道138例患者的病历资料,采用SPSS11.0软件进行统计学分析,组间率的比较采用2检验。结果:建立人工气道的患者138例,发生下呼吸道感染57例,感染率为41.30%,统计分析显示,插管类型、置管地点、置管后留置时间、危重病人APACHEⅡ评分高低、是否机械通气、口腔护理次数、声门下分泌物吸引与置管后下呼吸道感染相关(P<0.05),而采用密闭式吸痰管、使用人工鼻与插管后下呼吸道感染无密切关系(P>0.05)。结论:多种因素与人工气道下呼吸道感染密切相关,临床上应采取多项护理干预措施。

Objective：To study the risk factors of lower respiratory infection in rescue with artificial airway to determine strategy of intervention. Methods：Data of 138 cases underwent the artificial airway in rescue from Sep 2011 to Sep 2012 in our hospital were reviewed retrospectively. The results were analyzed using software spssll. 0. Results： 57 of 138 cases had the lower respiratory infection （42.30%）. The statistical results suggested that the risk racers of lower respiratory infection in rescue with artificial airway associated with tube type, place of catheters, catheter in- dwelling time and level of APACHE II score, mechanical ventilation in critical patients, frequency of oral care and attracted subglottic secretions （P 〈 0.05 ）. Conclusions： lower respiratory infection in rescue with artificial airway in- volves to multifactor, so intervention of care would be many way.