ICU脑出血患者肺部感染的影响因素研究

Study on Influencing Factors of Pulmonary Infection in ICU Cerebral Hemorrhage Patients

目的分析ICU脑出血患者肺部感染的影响因素。方法选取我院重症监护室2015年1月至2018年1月收治的60例患者进行研究,其中45例患者发生肺部感染,回顾性分析所选患者临床资料,统计发生肺部感染的患者年龄、住院时间、吸烟情况、昏迷情况、气管开放方式情况等。结果在所选ICU脑出血患者中,会吸烟、昏迷过、住院时间不低于14d、年龄不低于60岁、采用气管切口开放气管方式治疗、合并COPD的患者院内肺部感染的发生率均明显高于不满足这些因素的患者,差异显著均具有统计学意义(P<0.05)。结论 ICU脑出血患者肺部感染的影响因素包括:患者年龄≥60岁,住院时间≥14d、会吸烟、昏迷过、采用气管切口治疗、合并COPD。

Objective To analyze the influencing factors of pulmonary infection in patients with ICU cerebral hemorrhage. Methods 60 cases of patients admitted to our ICU from January 2015 to January 2018 were studied, 45 patients developed pulmonary infections. The clinical data of seleeted patients were retrospectively analyzed and the incidence of pulmonary infection was counted. Patient＇ s age, length of stay, smoking, coma, and tracheal opening patterns. Results Incidence of nosoeomial pulmonary infections in selected ICU patients with cerebral hemorrhage, smoking, coma, hospitalization time of at least 14 d, age no less than 60 years, open tracheal approach with tracheotomy, and COPD All patients were significantly higher than those who did not meet these factors, and the differences were statistically significant （P〈0.05）. Conclusion The influence factors of pulmonary infection in patients with ICU cerebral hemorrhage include： patients aged ≥60 years, hospitalization time ≥14 d, smoking, coma, tracheal incision, and COPD.