脑梗塞患者医院内获得性肺炎危险因素探讨及对策  

Risk factors of nosocomial acquired pneumonia in patients with cerebral infarction

作　　者：徐军青[1] 于民[1] 姚炯[1] 

机构地区：[1]浙江省人民医院,浙江杭州310014

出　　处：《天津护理》2007年第6期315-317,共3页Tianjin Journal of Nursing

摘　　要：探讨脑梗塞患者医院内获得性肺炎危险因素及防治对策。对513例脑梗塞住院患者进行调查统计分析。医院内获得性肺炎84例,感染率为16.4%。高龄体弱、住院日、意识障碍、肺部疾病、气管切开、气管插管、使用呼吸机、鼻饲胃管、应用糖皮质激素与H2受体阻滞剂和预防应用抗生素是脑梗塞患者医院内获得性肺炎的危险因素,应引起高度重视。在临床治疗和护理过程中加强防护,减少医院内感染的发生。To exqlore the risk factors and preventive measures for nosocomial acquired pneumonia in patients with cerebral infarction. A prospective and retrospective study was carried out to investigate the clinical data of 513 patients with cerebral infarction. There were 84 patienst of the nosocomial acquired pneumonia. The rote of the nosocomial acquired pneumonia was 16.4%. Nosocomial inection was more closely related with ages and the days of hospitalization period, disorders of conscionsness, disease of lung, tracheetomy, tracheal intubation, the use of respimmenter, instillation in feeding tube, the application of H2 - receptor blocking agents and antimicmbials,which are all risk factors for acquired pneumonia and more attention should be paid in clinical treatment and nursing care as to lower the occurrence of the nosocomial infection.

关 键 词：脑梗塞 交叉感染 肺炎 危险因素 

分 类 号：R473.5[医药卫生—护理学]