摘要
目的 找出颅脑损伤患者下呼吸道医院感染的相关因素,提出控制措施。方法 应用病例对照研究法,将神经外科64例下呼吸道医院感染病例设为感染组,随机抽样63例未发生医院感染的为非感染组,拟定下呼吸道医院感染的相关因素,设置统一的两组表格进行回顾性调查分析。结果 下呼吸道医院感染与患者年龄、性别、慢性疾病无相关性;而与患者气管切开、气管插管、吸痰、意识障碍、插入胃管、应激性溃疡、全麻手术、亚低温治疗有相关性。结论 注意无菌操作、保持呼吸道通畅、作好预防性消毒与隔离是控制下呼吸道医院感染最有效的措施。
OBJECTIVE To find out some related factors of hospital infection of lower respiratory tract in patients of craniocerebral injury and provide controlling measures. METHODS The related factors of hospital infection in lower respiratory tract were retrospectively analyzed with the form of two groups including the infection group of 64 cases of lower respiratory tract infection patients in the neurosurgery department and the noninfection group of 63 cases of patients without lower respiratory tract infection randomly. RESULTS Hospital infections in lower respiratory tract were related with such factors as tracheotomy, trachea intubation, sputum aspiration, consciousness obstacle, stomach intubation, stress ulcer,general anesthesia operation, and subhypothermia treatment, and weren′t related with such factors as age, sex, and chronic disease. CONCLUSIONS These steps including no bacteria operation, clear respiratory tract, preventive sterilization and isolation. are the most effective on controlling the infection of lower respiratory tract.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2005年第2期152-154,共3页
Chinese Journal of Nosocomiology
关键词
颅脑损伤
下呼吸道
医院感染
预防控制
Craniocerebral injury
Lower respiratory tract
Hospital infection
Prevention and controlling
