摘要
目的为了进一步研究和探讨临床上导致神经外科危重症患者并发下呼吸道感染的高危因素,从而临床预防患者下呼吸道感染提供借鉴和参考。方法为了进一步研究和探讨临床上导致神经外科危重症患者并发下呼吸道感染的高危因素,从而临床预防患者下呼吸道感染提供借鉴和参考,本文以我院2010年12月～2012年12月期间收治的神经外科危重症患者112例为研究对象进行了回顾性分析。结果本组选择112例神经外科危重症患者中,发生下呼吸道感染的患者共计76例,下呼吸道感染并发率为67.86%。①随着患者住院时间的不断增加,患者发生下呼吸道感染的比例不断升高,组间比较差异有统计学意义(P均<0.05);②随着患者气管切开时间的不断增加,患者发生下呼吸道感染的比例不断升高,组间比较差异有统计学意义(P均<0.05);③使用呼吸机患者的感染比例显著的高于未使用呼吸机患者的感染比例,组间比较差异有统计学意义(P<0.05)。结论对于神经外科危重症患者来说,患者的住院时间、患者的气管切开时间以及患者使用呼吸机情况是导致其并发下呼吸道感染的高危因素。
Objective To further study and discuss the high risk factors that caused lower respiratory tract infection in clinical treatment and to provide reference and reference.Methods To further study and discuss the high risk factors for nerve surgical critically ill patients with concurrent lower respiratory tract infection to provide reference and reference for the clinical prevention in patients with lower respiratory tract infection.112 cases of critically ill patients in our hospital from December 2010 to December 2012 were chosen as the research object,and they were taken for retrospectively analysis.Results In the 112 cases of critically ill neurosurgery patients,there were a total of 76 patients with lower respiratory tract infection,and concurrent lower respiratory tract infection rate was 67.86%.①With the increasing length of hospital stay of patients,proportion of the lower respiratory tract infection in patients was rising,and compared between groups,P0.05,the difference was statistically significant;②With the increase of the trachea dissection time,the proportion of the lower respiratory tract infection in patients was rising,and the comparison between groups,P0.05,the difference was statistically significant;③The infection rates of using breathing machine in patients was significantly higher than not using breathing machine in patients with infection rates,and compared between groups,P0.05,the difference was statistically significant.Conclusion For critically ill neurosurgery patients,patients＇ hospitalization time,patients with tracheotomy and patients with breathing machine are the high risk factors that caused concurrent lower respiratory tract infections.
出处
《四川医学》
CAS
2013年第5期659-660,共2页
Sichuan Medical Journal
关键词
神经外科
危重症患者
下呼吸道感染
高危因素
neurosurgery
critically ill patients
lower respiratory tract infection
risk factors
