摘要
目的:探讨检验科室控制重型颅脑外伤患者下呼吸道感染防范措施以及相应的管理办法。方法:选择2016年1月-2017年2月来本院治疗的112例重型颅脑损伤联合呼吸道感染患者作为主要研究对象,随机分为对照组与观察组,每组各56例,分别行常规护理与综合性护理模式,实施病原学检测,并分析患者感染病原菌的耐药性以及病原菌分布;同时对比分析痰菌培养阳性率及肺部感染评分,并提出相应的管理办法及防范措施。结果:观察组患者的痰菌培养阳性率为37.5%,明显低于对照组患者60.7%,比较差异有统计学意义(P<0.05)。观察组患者肺部感染评分为(5.31±0.81)分,显著低于对照组患者,比较差异有统计学意义(P<0.05)。结论:重型颅脑外伤患者易感染病原菌,且耐药性机理较复杂,合理使用抗菌类药物,加强消毒护理,才能使感染率降低。
Objective： To study the inspection department control measures to prevent severe head trauma patients with lower respiratory tract infection and the corresponding management measures.Method： 112 cases of severe craniocerebral injury combined with respiratory tract infection were selected in our hospital from January 2016 to February 2017 as the main objects of study, they were randomly divided into control group and observation group, 56 cases in each group, they were respectively given routine nursing and comprehensive nursing model.The implementation of etiology detection, the drug resistance of pathogenic bacteria and pathogen infection in patients with distribution were analyzed.Simuhaneous contrast analyzed culture positive rate of sputum and lung infection score, puts forward corresponding measures for the management and proteetion measures.Result： The c^bservation group of patients with sputum culture positive rate was 37.5%, significantly lower than the control group of 60.7%, the difference was statistically significant （ P〈0.05 ） .The pulmonary infection score in observation group was （ 5.31 - 0.81 ） score significantly lower than the control group, the difference was statistically significant （ P〈0.05 ） . Conclusion： Patients with severe head trauma infectious pathogens, the resistance mechanism is complex, the rational use of antimicrobial drugs, strengthen the disinfection of nursing, to reduce infection rates.
出处
《中国医学创新》
CAS
2017年第22期102-104,共3页
Medical Innovation of China
基金
深圳市宝安区科技计划项目(2007060)
关键词
重型颅脑外伤
下呼吸道感染
护理方法
检验科
耐药性
Severe head trauma
The lower respiratory tract infection
Nursing methods
Clinicallaboratory
Drug resistance
