干预措施对慢性充血性心力衰竭患者肺部感染的影响  

Influence of intervention measures on pulmonary infections in patients with chronic congestive heart failure

作　　者：秦璟璟 冯文华[1] 陈玉华[1] 

机构地区：[1]南阳市中心医院特需二病区,河南南阳473000

出　　处：《中华医院感染学杂志》2015年第12期2766-2768,共3页Chinese Journal of Nosocomiology

基　　金：河南卫生厅重点基金资助项目(XL20140507)

摘　　要：目的探讨干预措施对慢性充血性心力衰竭患者肺部感染率及病程恢复的影响,以期为降低肺部感染的发生及治疗提供参考。方法选取2013年1-12月收治的慢性充血性心力衰竭患者200例,根据数字表格法将其分为干预组与常规组,每组各100例,两组患者在入院后给予强心、利尿等抗心力衰竭治疗,常规组患者未进行干预,干预组患者进行干预措施,并对两组患者肺部感染率及相关指标进行比较,数据采用SPSS 17.0统计软件进行分析。结果肺部感染率干预组为7.0%、常规组为18.0%,两组患者肺部感染率比较,差异有统计学意义(P<0.05);25例肺部感染患者痰培养阳性23例,阳性率为92.0%,共检出病原菌26株,其中革兰阴性菌17株占65.4%,革兰阳性菌9株占34.6%;咳嗽恢复、体温恢复及感染控制时间干预组患者分别为(4.34±1.21)d、(2.22±0.42)d及(8.08±4.75)d,常规组分别为(8.29±4.02)d、(3.21±0.77)d及(14.83±5.80)d,两组比较差异有统计学意义(P<0.05)。结论慢性充血性心力衰竭患者肺部感染的病原菌以革兰阴性菌为主,对其进行干预措施,能减少肺部感染率,缩短咳嗽恢复、体温恢复、感染控制时间。OBJECTIVE To discuss the influence of intervention measures on pulmonary infections and course of recovery in patients with chronic congestive heart failure so as to decrease the occurrence of pulmonary infections and provide clinical references .METHODS Totally 200 cases of patients suffered from chronic congestive heart failure from Jan .to Dec .2013 were selected .They were divided into intervention group and convention group with 100 cases each according to code table method .The two groups were all adopted heart pumping and diuretic therapy .And the convention group was not intervened while the intervention group adopted some intervention measures .The pulmonary infection rate and related indicators of the two groups of patients were compared .All data were statistically analyzed by SPSS 17 .0 software .RESULTS The pulmonary infection rate in intervention group was 7 .0% ,while in the convention group ,it was 18 .0% .The differences were significant （P〈0 .05） .A total of 23 cases proved to be positive in sputum culture in the 25 pulmonary infection patients and the positive rate was 92 .0% . Totally 26 strains of pathogens were detected , including 17 strains of gram‐negative bacteria , accounting for 65 .4% . And 9 strains of gram‐positive bacteria were found , accounting for 34 .6% . Cough recovery time ,temperature recovery time ,infection control time in the intervention group were respectively （4 .34 ± 1 .21）d ,（2 .22 ± 0 .42）d and （8 .08 ± 4 .75）d ,while in the convention group ,they were respectively （8 .29 ± 4 .02）d ,（3 .21 ± 0 .77）d and （14 .83 ± 5 .80）d .The differences were significant （P〈 0 .05） .CONCLUSION Gram‐negative bacteria are the major pathogens causing pulmonary infections in patients with chronic congestive heart failure .Interventions can reduce the lung infection rate ,shorten cough time ,recover body temperature and control the infection duration .

关 键 词：慢性充血性心力衰竭 肺部感染 干预措施 

分 类 号：R181.32[医药卫生—流行病学]