NSICU患者并发肺部感染的相关因素分析及防治措施  

Related risk factors and countermeasures of pulmonary infections in patients of neurosurgery ICU

作　　者：吴志敏[1] 王俊文[1] 陈文[1] 王雷[1] 李俊[1] 

机构地区：[1]华中科技大学同济医学院附属武汉中心医院神经外科,湖北武汉430014

出　　处：《中华医院感染学杂志》2013年第4期769-770,共2页Chinese Journal of Nosocomiology

摘　　要：目的探讨神经外科重症监护病房(NSICU)患者并发肺部感染的危险因素及预防对策,控制及减少NSICU患者肺部感染的发生。方法回顾性分析72例肺部感染患者的临床资料,对患者性别、年龄、病史、手术操作等可能与肺部感染相关的因素采用χ2检验进行分析。结果合并糖尿病、肺部原发疾病NSICU患者肺部感染率较高,均>50.0%;年龄、GCS评分、侵入性操作、机械通气时间、应用糖皮质激素及NSICU住院时间是NSICU患者并发肺部感染的危险因素(P<0.05),其中侵入性操作、机械通气时间及长期应用糖皮质激素是高危因素(P<0.01)。结论加强NSICU管理及合并糖尿病、肺部原发疾病患者基础疾病的积极治疗,减少糖皮质激素的使用及侵入性操作,加强患者气道护理,控制及减少NSICU患者肺部感染的发生。OBJECTIVE To investigate the related risk factors and countermeasures of pulmonary infections in the patients of neurosurgery ICU.METHODS A total of 72 patients in neurosurgery ICU were selected to investigate the pulmonary infections-associated factors including the gender,age,case history,and operation procedures through the χ2 test.RESULTS The patients with diabetes or pulmonary diseases were more prone to get pulmonary infections with a high rate of more than 50.0%.The advanced age,GCS score,invasive operation,mechanical ventilation time,use of glucocorticoids,and long ICU stay were the risk factors for pulmonary infections in the patients of the neurosurgery ICU（P0.05）,among which the invasive operation,mechanical ventilation time and long-term use of glucocorticoids were significant risk factors（P0.01）.CONCLUSION To strengthen the management of the neurosurgery ICU ward and the active treatment of the underlying diabetes or primary lung diseases,to reduce the frequency of using glucocorticoids and invasive operation,and to enhance the airway care will be helpful to the control of the pulmonary infections in the patients of neurosurgery ICU.

关 键 词：神经外科 重症监护病房 肺部感染 危险因素 

分 类 号：R181.32[医药卫生—流行病学]