关节置换术后患者院内肺部感染的高危因素与干预模式研究  

High risk factors of nosocomial pulmonary infection in postoperative patients undergoing artificial joint replacement and research on relevant preventive modes

作　　者：林燕[1] 彭凌[1] 吴丽芬[1] 张力成[1] 余雪梅[1] 

机构地区：[1]温州医学院附属第三医院骨一科,浙江瑞安325200

出　　处：《中国现代医生》2012年第18期159-160,共2页China Modern Doctor

基　　金：2009年浙江省第三批一般科研项目(2009C33144)

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模式。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,早期下床活动与合理体位、严格执行标准预防、加强意识障碍及老年患者的呼吸道管理、积极治疗基础疾病等干预模式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 undergo- ing artificial Joint replacement and relevant preventive measures. Methods The 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 was closely related to such factorsl as age, lying position, time length of lying in bed, consciousness disturbance, and underlying disease. Conclusion Nosoco- mial Pulmonary Infection in postoperative patients undergoing artificial joint replacement is caused by multiple factors. More attention should be paid to the early ambulation and rational body position, strict implementation of standard preven- tion, reinforcement of the management of 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：关节置换 肺部感染 危险因素 干预 

分 类 号：R473.6[医药卫生—护理学]