普外老年留置胃管患者获得性肺部感染的预防  

Prevention of Acquired Lung Infection for Senile Patients with Retained Stomach Tube

作　　者：肖西平[1] 黄利虹[1] 周静[1] 宫茹清[2] 

机构地区：[1]解放军总医院,北京100853 [2]吉林大学中日联谊医院,吉林长春130033

出　　处：《中华医院感染学杂志》2005年第7期762-763,共2页Chinese Journal of Nosocomiology

摘　　要：目的探讨老年术后留置胃管患者获得性肺部感染(ALI)的预防。方法对我科近10年所有术后留置胃管的老年患者病历进行回顾性分析。结果1633例老年患者发生医院感染395例,其中210例老年术后留置胃管患者发生获得性肺部感染,占医院感染的53.18%。结论老年患者长时间留置胃管,增加了胃→咽→下呼吸道逆行感染的发病率;加强对老年留置胃管患者呼吸道感染的预防控制,适时拔除胃管,将有效降低老年患者感染率,减少死亡率。OBJECTIVE To investigate the prevention experience of acquired lung infection (ALI) for senile patients with retained stomach tube after operation. METHODS Retrospective analysis was proceeded for all senile patients (retained) stomach tube after operation in a past decade. RESULTS Among 1 633 senile patients, 395 patients (developed) hospital infection in which 210 patients with retained stomach tube after operation developed ALI, that (occupied) (53.18%) of total patients developing hospital infection. CONCLUSIONS Long-term retained stomach tube can (increase) incidence of retrograde infection from stomach to pharynx and lower respiratory tract in sequence. (Enhancement) of prevention of respiratory tract infection for senile patients with retained stomach tube and (well-timed) (extraction) of stomach tube would effectively decrease the incidence of infection and the mortality of (senile) (patients. )

关 键 词：老年 获得性肺部感染 预防 

分 类 号：R563.1[医药卫生—呼吸系统]