神经外科手术后医院获得性肺炎危险因素分析  

Risk Factors of Hospital-acquired Pneumonia in Neurosurgical Patients

作　　者：许缤[1] 陈红岩[1] 孙嫣[1] 仝宇红 朱丽丽[2] 陈大华[1] 

机构地区：[1]石家庄市第一医院感控处,河北石家庄050011 [2]石家庄市第一医院骨科,河北石家庄050011

出　　处：《中华医院感染学杂志》2010年第21期3310-3311,3321,共3页Chinese Journal of Nosocomiology

摘　　要：目的探讨神经外科手术后患者医院获得性肺炎的危险因素,为制定医院感染控制措施提供理论依据。方法采用目标性监测的方法对2008年12月-2009年12月医院神经外科住院手术患者术后医院获得性肺炎发病率及相关危险因素进行调查分析。结果 534例神经外科手术患者气管切开、意识障碍、手术时间>2 h、年住院时间>30 d是其医院获得性肺炎的危险因素。结论针对危险因素采取有效控制措施是控制医院获得性肺炎的关键。OBJECTIVE To work out the hospital infection control measures through the study of the risk elements of hospital-acquired pneumonia in neurosurgical patients. METHODS The disease incidence rate and correlative risk factors of these hospital acquired pneumonia patients after neurosurgery that hospitalized in the neurosurgery department during the year of Dee 2008 and Dec 2009 were investigated and analyzed by means of targetsurveillance. RESULTS After the studies of 534 neurosurgical patients, the results showed that the trachea dissection, consciousness impediment, operation time more than 2 hours, and hospitalization time more than 30 days were the main risk factors for hospital-acquired pneumonia. CONCLUSION The key measures to control the hospital-acquired pneumonia are taking effective control on these risk factors.

关 键 词：神经外科手术 医院获得性肺炎 危险因素 

分 类 号：R181.32[医药卫生—流行病学]