综合ICU胸外伤患者肺部感染的相关性分析  

Analysis on the related factors of nosocomial pulmonary infection in thoracic trauma patients in comprehensive ICU

作　　者：丁彦光[1] 金炜[1] 肖祥之[1] 袁军[1] 张胜超[1] 

机构地区：[1]复旦大学附属中山医院青浦分院胸外科,上海201700

出　　处：《中华医院感染学杂志》2014年第7期1747-1749,共3页Chinese Journal of Nosocomiology

基　　金：复旦大学附属中山青浦分院科研基金项目(QY2010-07)

摘　　要：目的探讨综合ICU重症胸外伤患者肺部感染的危险因素以及防治措施,为预防和控制医院肺部感染的发生提供依据。方法回顾性分析2009年1月-2012年1月综合ICU收治的135例重症胸外伤患者临床资料,统计医院肺部感染率并分析其相关因素,采用SPSS 13.0统计软件包,对计数资料采用χ2检验,计量资料采用t检验。结果 ICU重症胸外伤患者共计135例,发生医院肺部感染39例,发生率为28.9%,其发生率与患者的年龄、ICU入住时间、气管插管,气管切开、机械通气时间、胸部手术、胸腔闭式引流、留置胃管、颅脑外伤、躯干四肢骨折和腹部外伤因素相关(P<0.05)。结论在临床实际工作中,要注重ICU重症胸外伤患者医院肺部感染的危险因素,降低医院肺部感染的发生率。OBJECTIVE To explore the risk factors and the corresponding prevention strategies of nosocomial pulmonary infection in thoracic trauma patients in comprehensive ICU ,so as to provide scientific basis for preven-tion and control of nosocomial pulmonary infection .METHODS The clinical data of 135 cases of thoracic trauma patients in comprehensive ICU from Jan .2009 to Jan .2012 were analyzed retrospectively .The incidence rate of nosocomial pulmonary infection was calculated and the risk factors were analyzed .SPSS13 .0 software was used for data analysis ,χ2 used for enumeration data and t-test for measurement data .RESULTS There were 135 cases of patients with thoracic trauma in ICU ,among which 39 cases got nosocomial pulmonary infection ,accounting for 28 .9% ,the incidence rate was correlated with patient′s age ,the resident days in ICU ,tracheal intubation ,tra-chea incision ,mechanical ventilation ,chest operation ,closed thoracic drainage ,gastric tube ,brain injury ,trunk limbs fracture and abdominal trauma（P＆lt;0 .05） .CONCLUSION In clinical practice ,it should be noted the risk fac-tors of nosocomial pulmonary infection in thoracic trauma patients in comprehensive ICU to reduce the incidence of nosocomial pulmonary infection .

关 键 词：胸外伤 重症监护病房 医院感染 肺部感染 危险因素 预防 

分 类 号：R563[医药卫生—呼吸系统]