脑挫裂伤患者并发肺部感染的危险因素分析

Risk factors of pulmonary infection in patients with cerebral contusion and laceration

目的分析脑挫裂伤患者并发肺部感染的危险因素。方法选择100例脑挫裂伤患者作为研究对象,通过单因素分析和多因素logistic回归分析筛选脑挫裂伤患者并发肺部感染的危险因素。结果100例脑挫裂伤患者中并发肺部感染的患者为28例,感染率为28.00%。不同年龄分组、不同格拉斯哥昏迷评分(GCS)、有无吸烟史、是否切开气管、是否呼吸机通气、是否给予鼻胃管的脑挫裂伤并发肺部感染率差异有统计学意义(P<0.05)。年龄≥60岁、留置胃管和使用呼吸机是并发肺部感染的危险因素。结论针对脑挫裂伤并发肺部感染患者的治疗应留意年龄、留置胃管和使用呼吸机情况。

Objective To analyze the risk factors of pulmonary infection in patients with cerebral contusion and laceration.Methods One hundred patients with cerebral contusion and laceration were selected as subjects.The risk factors of pulmonary infection were analyzed by univariate and multivariate Logistic regression analysis.Results Among the 100 patients of brain contusion and laceration,28 patients were complicated with pulmonary infection,and the infection rate was 28.00%.There were statistically significant differences in lung infection rate among different age groups,different GCS scores,smoking history,tracheotomy,ventilator ventilation,and nasogastric tube was given(P<0.05).Sixty years old and above and gastric tube intubation and use of ventilator were risk factors for pulmonary infection.Conclusion Age,gastric tube intubation and ventilator should be paid attention to the treatment of cerebral contusion and laceration complicated with pulmonary infection.