重型颅脑外伤患者呼吸系统医院感染的相关因素调查  

Investigation of Relative Factors of Respiratory System Infection in Hospital for Patients with Severe Traumatic Brain Injury

作　　者：唐德菊[1] 田艾林[1] 关新明[2] 

机构地区：[1]江汉油田总医院五七分院外科,湖北潜江433124 [2]江汉油田总医院外科,湖北潜江433124

出　　处：《长江大学学报（自科版）（下旬）》2009年第3期281-283,共3页Journal of Yangtze University

摘　　要：目的:调查重型颅脑外伤患者肺部医院感染的危险因素,探索其预防和控制措施。方法:对我院1997年1月至2009年7月的693例重症颅脑外伤患者肺部感染的危险因素进行调查分析。结果:医院感染率为33.3%,例次感染率为42.5%。引起肺部医院感染有显著性意义的危险因素有高龄、住院时间过长、使用呼吸机、气管切开、休克、基础病、激素等。结论:加强医护人员培训,严格执行无菌技术,减少不必要的侵入性操作,合理使用抗生素,及时、准确监测病原菌,是降低医院感染的有效措施。Objective:To investigate the risk factors and preventive measures for respiratory system infection in patients with severs traumatic brain injury.Methods:A total of 693 cases of patients with respiratory infection in ICU from January 1997 to July 2009 were explored and analyzed retrospectively,and respiratory infection factors were summarized.Results:Hospital infection rate was 33.3%,case infection rate was 42.5%;risk factors prone to hospital infection were aging,long hospitalization,respiratory machine application,respiratory tract inicison,shock,hormone use and underlying disease.Conclusions:The medical staffs should receive better training of infection prevention.Lessening unnecessary invasive operation,monitoring pathogens in time,and reasonably use of antibiotics are the effective measures to decrease the hospital infection.

关 键 词：重型颅脑外伤 肺部感染 ICU 危险因素 

分 类 号：R651.15[医药卫生—外科学]