气管切开术后下呼吸道感染的相关因素及护理对策  

The related factors and nursing of lower respiratory tract infection after tracheotomy

作　　者：陈蓉[1] 何小玉[1] 

机构地区：[1]四川省广元市第二人民医院,628017

出　　处：《中国实用医药》2010年第5期180-182,共3页China Practical Medicine

摘　　要：目的了解气管切开患者下呼吸道感染的相关因素及有效的护理措施。方法回顾性分析神经外科68例气管切开患者下呼吸道感染情况,采取相应的护理干预措施。结果68例气管切开患者下呼吸道感染率为69.1%,病情危重、置管时间过长、侵入性操作与感染密切相关,护理人员预防感染意识淡泊、不合理使用抗生素有增加感染的可能。结论加强预防感染意识、严格无菌操作、减少侵入性操作、严格管理呼吸机、增强患者免疫力、合理使用抗生素是预防下呼吸道感染的有效措施。Objective Find out the related factors and effective Nursing of Tracheotomy patients＇ lower respiratory tract infection. Methods Retrospective analysis of 68 Neurosurgery lower respiratory tract infection cases of Tracheotomy patients, and to take corresponding nursing measures. Results The rate of 68 Tracheotomy patients＇ lower respiratory tract infection was 69. 1%, the severity condition of patients, prolonged time of in- dwelling catheter and Invasive procedures were all closely related to lower respiratory tract infection, Nurses＇ Sense of being indifferent to Prevention of infection and Irrational use of Antibiotics had increased the possibility of infection. Conclusion Enhance awareness of prevention of infection, stringent aseptic, reduction of invasive procedures,strict management of ventilator,strengthening the immune system of patients and the rational use of antibiotics are all effective measures to prevent infection of lower respiratory tract after tracheotomy.

关 键 词：气管切开 下呼吸道感染 相关因素 护理对策 

分 类 号：R473.6[医药卫生—护理学]