摘要
目的：探讨ICU脑外伤合并肺部感染的危险因素及诊疗措施。方法：选取我院2011年4月-2013年3月ICU收治的120例脑外伤患者作为研究对象，对其影响肺部感染的危险因素进行逐一分析。结果：除性别因素组肺部感染发生的比率组间比较差异无统计学意义外（P〉0.05），其他各因素（年龄、GCS评分、辅助通气、留置气管、尿管、胃管及激素和抗生素使用等）组间比较差异均有统计学意义（P〈0.05）。结论：对于ICU脑外伤并发肺部感染患者的诊治和预防，应尽可能少使用激素，在行机械通气、气管插管、留置尿管、胃管等侵袭性操作前应保持设备的绝对无菌，做好无菌等防护措施。尽可能针对致病菌给予合理的抗生素，减少抗生素使用的种类，减少耐药现象的发生。
Objective：To investigate risk factors and treatment measures of patients of ICU brain trauma with pulmonary infection. Methods：120 cases of traumatic brain injury in our hospital from April 2011 to March 2013were chosed as the research objects, the impact factors on the risk of lung infection were analyzed. Results：There was no significant difference （P〉0.05） between the groups of different genders. And the difference of all other factors （Such as age, GCS score, assisted ventilation, tracheal, catheter, tube and hormones and antibiotics use, etc.） were statistically significant（P〈0.05）. Conclusion：The treatment and prevention for the pulmonary infection in ICU patients with traumatic brain injury should minimize the use of hormones. When the line mechanical ventilation, mechanical ventilation, endotracheal intubation, indwelling catheter, stomach tubes and other invasive procedures were used, absolute sterility should be maintained. Before handling sterilized and other protective measures, a reasonable antibiotics for bacteria, reducing the use of antibiotics species was necessary to reduce the resistance phenomenon.
出处
《中国医药导刊》
2014年第4期591-592,共2页
Chinese Journal of Medicinal Guide
