老年患者股骨颈骨折术后肺部感染的临床分析及干预对策  

Clinical analysis and intervention strategies of pulmonary infection after surgery in elderly patients with femoral neck fracture

作　　者：邓月华[1] 

机构地区：[1]广西南宁市第二人民医院关节外科,南宁市530031

出　　处：《中华实验和临床感染病杂志（电子版）》2015年第1期55-58,共4页Chinese Journal of Experimental and Clinical Infectious Diseases(Electronic Edition)

摘　　要：目的：分析老年患者股骨颈骨折术后并发肺部感染的危险因素，提出针对性的预防护理干预对策，以降低感染率。方法收集本科室2008年1月至2013年12月病历齐全的老年股骨颈骨折176例患者资料，根据是否发生肺部感染分为两组（即感染组和非感染组），比较两组患者感染的高危因素。结果高龄、早期缺乏活动、合并糖尿病、慢性支气管炎、长期反复使用抗菌药物、营养状况差、长期吸烟等因素可增加肺部感染的发生率，以上指标均具有统计学意义（P均＜0.05）。感染组42例患者经积极治疗后感染于7～14 d得到控制。结论针对上述因素，积极干预，鼓励患者早期活动，彻底吸痰、加强肺功能锻炼、体位干预、饮食干预及加强基础护理，积极治疗原发病等措施，可以降低老年患者股骨颈骨折术后肺部感染的发生率。Objectives To analyze the risk factors of pulmonary infection after surgery in elderly patients with femoral neck fracture, to propose targeted prevention and nursing intervention strategies, and to reduce the infection rates. Methods The clinical date of 176 elderly patients with femoral neck fracture were collected from January 2008 to December 2013 in our department, and those cases were divided into two groups （the infected group and the non-infected group） depending on whether they had pulmonary infection, then compared and summarized risk factors of infection. Results Advanced age, early lack of activity, diabetes, chronic bronchitis, long-term repeated use of antibiotics, poor nutritional status and long-term smoking could increase the incidence of pulmonary infection, all the indicators mentioned-above had significant differences （P all 〈 0.05）. There were 42 cases with severe infetion in the infected group were treated within 7-14 d. Conclusions In response to these factors, doctors and nurses should take active intervention, encouraging patients to exercise earlier, suctioning completely, encouraging patients to strengthen their pulmonary function by exercise, postural intervention, dietary intervention and strengthening primary care, actively curing the primary disease and some other measures. These measures could reduce the incidence rate of infection of pulmonary infection after surgery in elderly patients with femoral neck fracture.

关 键 词：老年人 股骨颈骨折 术后 肺部感染 干预对策 

分 类 号：R473.6[医药卫生—护理学]