外科SICU中呼吸道感染患者的危险因素分析  

Surgical SICU Patients with Respiratory Tract Infection Risk Factors Analysis

作　　者：肖金石 

机构地区：[1]邵阳市中心医院,湖南邵阳422099

出　　处：《中外医学研究》2012年第23期3-4,共2页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的：了解重症监护病房（SICU）患者呼吸道感染发生的危险因素。方法：对2008年9月-2010年3月人住笔者所在医院SICU2d以上的300例患者，进行呼吸道医院感染目标性检测。结果：所有患者中发生医院感染57例（19．00%），其中呼吸道医院感染40例（占70．18%，〈60岁患者8例，〉60岁患者32例。感染原因与气管切开、气管插管、呼吸机治疗、留置胃管和呼吸道医院感染有直接关系。入住SICU时间〉10d的患者与人住5～10d、〈4d患者比较，发生感染率比较差异有统计学意义（P〈0．05）。结论：加强基础疾病的治疗，减少侵入性操作，缩短ICU入住时间，是降低呼吸道医院感染发生的重要环节。Objective ：To investigate intensive care unit （SICU） patients with respiratory tract infection of certain risk factors.Methods ：The 2008 September to 2010 March in SICU 2D for more than 300 patients, were respiratory tract hospital infection targeted detection.Results ：All patients with nosoeomial infection in 57 eases（19%）, where in the respiratory tract nosocomial infection in 40 cases （70.18%）, 〈60 years old patients with 8 cases, 32 cases of patients with〉60 years old. Infection causes and tracheotomy, endotracheal intubation, ventilation in the treatment of gastric tube indwelling and nosocomial infection of respiratory tract, have direct relation.Another time in SICU 〉10 d in 5-10 d patients, 〈4 d compared with patients with infection rates, with significant difference （P〈O.05）.Conclusion ：To strengthen the basis of disease treatment, a less invasive operation, shortening of ICU check-in time, lower respiratory tract nosocomial infection is an important link.

关 键 词：SICU 医院感染 呼吸道 因素 

分 类 号：R56[医药卫生—呼吸系统]