颅脑外伤重症监护患者合并肺感染的危险因素分析  

Analysis of the Risk Factors of Craniocerebral Trauma Intensive Care Patients Complicated by Pulmonary Infection

作　　者：刘永明[1] 

机构地区：[1]辽宁省本溪市本钢总医院神经外科,辽宁本溪117000

出　　处：《中外医疗》2014年第29期18-19,26,共3页China & Foreign Medical Treatment

摘　　要：目的针对颅脑外伤重症监护患者合并非感染的危险因素进行分析。方法随机选择2013年2月—2014年2月期间,该院重症监护科室收治的颅脑外伤重症监护患者80例,其中合并肺部感染患者40例,无肺部感染患者40例,作为该次研究的对象,合并肺部感染患者为观察组,无肺部感染患者为对照组,对两组患者的肺部感染危险因素进行分析比较。结果观察组与对照组患者的影响颅脑外伤重症监护患者合并非感染发生的危险因素中的年龄、昏迷、脱水剂使用、休克、意识障碍、激素应用、机械通气、开放性脑外伤、饮酒、吸烟、营养不良、肺部疾病、气管切开等,差异有统计学意义(P<0.05)。结论颅脑外伤重症监护患者合并肺感染发生的危险因素有很多,有患者自身的因素、有药物因素、有诊疗因素等,重症监护室是感染发生的高危场所,需要采取有效的措施进行预防,降低颅脑外伤重症监护患者的合并肺感染发生率。Objective To analyze the risk factors of craniocerebral trauma intensive care patients complicated by pulmonary infection.Methods 80 cases with craniocerebral trauma admitted in the intensive care unit（ICU） of our hospital from February 2013 to February 2014 were randomly selected as the subjects of this study.Of them,40 cases with pulmonary infection were selected as the observation group,and 40 cases without pulmonary infection were selected as the control group.And the risk factors of pulmonary infection were compared and analyzed between the two groups.Results Of the risk factors of craniocerebral trauma intensive care patients with pulmonary infection,the differences in age,coma,use of dehydrating agent,shock,disturbance of consciousness,hormone application,mechanical ventilation,open brain injury,drinking,smoking,poor nutrition,lung disease,tracheotomy and so on between the observation group and the control group were statistically significant,P〈0.05.Conclusion There are many risk factors related to craniocerebral trauma intensive care patients complicated by pulmonary infection,such as the patient＇s own factors,drug factors,diagnosis and treatment,and so forth.The ICU is a high-risk place of infection,and effective measures are needed to be taken to prevent the infection so as to reduce the incidence of craniocerebral trauma intensive care patients with pulmonary infection.

关 键 词：颅脑外伤 重症监护患者 肺感染 危险因素 

分 类 号：R651[医药卫生—外科学]