摘要
目的分析高龄开胸术后并发肺部感染的相关因素,并针对性拟定预防策略,以降低肺部感染发生率。方法选取2015年8月至2018年8月收治的70例高龄开胸手术治疗患者为研究对象,采用一般资料调查量表,查阅病历资料,统计肺部感染相关因素数据并录入多因素Logistic回归软件,进行独立影响因素分析。结果 70例患者中有21例(30%)发生肺部感染,多因素logistic回归分析显示,影响高龄开胸术后肺部感染的独立因素包括术前合并肺部感染病灶、合并吸烟史、低蛋白血症、慢性阻塞性肺疾病。结论高龄开胸术后可受到自身和医源性因素导致肺部感染,明确其独立危险因素,并根据个体差异实施针对性干预措施,能降低高龄开胸术后并发肺部感染的发生率。
Objective To analyze the related factors of pulmonary infection in elderly patients after thoracotomy,and develop preventive strategies for reducing the incidence of pulmonary infection. Methods We selected 70 cases of elderly patients undergoing thoracotomy who were treated from August 2015 to August 2018 as the study subjects. The general data survey scale was used to review the medical history data and the data of pulmonary infection related factors were counted and entered multivariate logistic regression software to analyze the independent factor. Results Pulmonary infection occurred in 21 cases( 30%) of the 70 cases of patients. Multivariate logistic regression analysis showed that the independent factors affecting pulmonary infection in elderly patients after thoracotomy included preoperative combined nidus of pulmonary infections,combined smoking history,hypoproteinemia,and chronic obstructive pulmonary diseases. Conclusion Elderly patients with postoperative thoracotomy could have pulmonary infections caused by itself and iatrogenic factors. Clarifying its independent risk factors,and implementing targeted interventions based on individual differences,which could reduce the incidence of postoperative pulmonary infections in elderly patients.
作者
孙玉平
俞洁
姜平平
鲁徐琦
杨玲
SUN Yu-ping;YU Jie;JIANG Ping-ping;LU Xu-qi;YANG Ling
出处
《护理实践与研究》
2019年第24期21-23,共3页
Nursing Practice and Research
关键词
高龄开胸手术
肺部感染
影响因素
预防策略
Elderly patients undergoing thoracotomy
Pulmonary infection
Influencing factors
Prevention strategies
