酒精戒断综合征患者医院内肺部感染的原因分析与预防  

Reason analysis and prevention of hospital pulmonary infection among sufferers with alcohol withdrawal syndrome

作　　者：曲红艳[1] 钟家旺[1] 甘红梅[1] 迟强[1] 

机构地区：[1]解放军第406医院215临床部,116041

出　　处：《中国疗养医学》2015年第9期991-992,共2页Chinese Journal of Convalescent Medicine

摘　　要：目的对酒精戒断综合征患者发生医院内肺部感染的原因进行分析,为临床预防提供参考。方法调查2010-01—2014-01在解放军第406医院精神科住院的酒精戒断综合征患者367例,对发生医院内肺部感染的临床资料进行统计分析。结果 367例酒精戒断综合征患者,发生肺部感染者为87例,感染率为23.71%。肺部感染的病原菌以革兰氏阴性杆菌为主,占78.69%,其中绿铜假单胞菌、鲍曼不动杆菌、肺炎克雷伯菌、大肠埃希菌为主要病原菌;饮酒年限>30年组发生肺部感染率为44.95%;日酒精摄入量>600 g组发生肺部感染率为41.49%;年龄>50岁组发生肺部感染率为最高,占51.61%。结论酒精戒断综合征患者医院内肺部感染发生率较高,病原菌多以革兰氏阴性杆菌为主,感染率与患者饮酒年限、日酒精摄入量及患者年龄呈正相关。积极治疗原发病、增强患者机体抵抗能力、合理使用抗生素是预防酒精戒断综合征患者发生医院内肺部感染的有效方法 。Objective To analyze the causes of hospital pulmonary infection among sufferers with alcohol withdraw- al syndrome so as to provide reference for clinical prevention.Methods 367 sufferers with alcohol withdrawal syn- drome hospitalized at the psychiatric department of our sanatorium fi＇om January 2010 to January 2014 were investigat- ed, and the clinical data of hospital pulmonary infection were statistically analyzed.Results In 367 sufferers with alco- hol withdrawal syndrome,87 cases suffered from pulmonary infection with a total infection rate of 23.71% .The pathogenic bacteria of pulmonary infection mainly focused on gram-negative bacilli, accounting for 78.69% .The main pathogenic bacteria among them were Pseudomonas Aeruginasa, Bauman Acinetobacter, Klebsiella Pneumoniae, and Es- cherichia Coli respectively.The incidence of pulmonary infection in the group of drinking period over 30 years was 44.95% ;the incidence of pulmonary infection in the group of daily alcohol intake over 600 g was 41.49%;the inci- dence of pulmonary infection in the group of over 50 years old was the highest,accounting for 51.61%.Conclusion Hospital pulmonary infection incidence in sufferers with alcohol withdrawal syndrome is quite high.The pathogenic bac- teria of pulmonary infection mainly is gram-negative bacilli.The infection rate is positively related to period of drink, daily alcohol intake, and the age of sufferers.Active treatment of the primary diseases, continuous improvement of the patients＇ physique and resistant ability, and rational usage of antibiotics is an effective method for the prevention of hos- pital pulmonary infection among sufferers with alcohol withdrawal syndrome.

关 键 词：酒精戒断综合征 肺部感染 原因分析 预防 

分 类 号：R749.62[医药卫生—神经病学与精神病学]