关节置换术后患者肺部感染的高危因素与干预措施  

High Risk Factors of Nosocomial Pulmonary Infection in Postoperative Patients Undergoing Artificial Joint Replacement and Relevant Preventive Measures

作　　者：林燕[1] 彭凌[1] 吴丽芬[1] 余雪梅[1] 

机构地区：[1]温州医学院附属三院

出　　处：《医院管理论坛》2012年第6期18-19,17,共3页Hospital Management Forum

摘　　要：目的探讨关节置换术后患者发生院内肺部感染的高危因素和干预措施。方法对2009年1月-2011年10月,关节外科453例关节置换术后患者中的31例院内肺部感染患者资料进行回顾性分析。结果关节置换术后院内肺部感染发生率为6.84%;院内肺部感染与年龄、卧位、卧床时间、意识障碍及基础疾病有密切的关系。结论关节置换术后患者院内肺部感染由多种因素所引起,加强长期卧床与老年人的护理,严格执行消毒隔离措施,加强口腔和呼吸道管理,积极治疗基础疾病,可降低关节置换术后患者院内肺部感染的发生。Objective To investigate high risk factors of nosocomial pulmonary infection in postoperative patients undergoing artificial joint replacement and relevant preventive measures.Methods A retrospective analysis was performed on the clinical data of 31 patients with nosocomial pulmonary infection among 453 postoperative patients undergoing artificial joint replacement from Jan.2009 to Oct.2011.Results The nosocomial pulmonary infectious rate of postoperative patients undergoing artificial joint replacement was 6.84%.The nosocomial pulmonary infection is closely related to such factors as age,lying position,time length of lying in bed,consciousness disturbance,and underlying disease.Conclusion Nosocomial pulmonary infection in postoperative patients undergoing artificial joint replacement is caused by multiple factors.More attention should be paid to the enhancement of nursing for patients of prolonged bed rest as well as elderly patients,strict implementation of measures of disinfection and isolation,reinforcement of the management of oral and respiratory tract and treatment of underlying diseases.All these can help reduce the nosocomial pulmonary infectious rate of the postoperative patients undergoing artificial joint replacement.

关 键 词：院内感染 危险因素 干预 

分 类 号：R563.1[医药卫生—呼吸系统]