肺部感染评分标准在重型颅脑损伤感染中的临床应用研究  

Clinical research on application of pulmonary infection score for patients with severe head injury infection

作　　者：邹青[1] 谢超[1] 李伟[1] 王美容[1] 钟俊[1] 

机构地区：[1]松滋市人民医院脑外科,湖北松滋434200

出　　处：《中华医院感染学杂志》2016年第16期3746-3748,共3页Chinese Journal of Nosocomiology

基　　金：湖北省卫计委重点科研基金资助项目(JX6B05)

摘　　要：目的分析重型颅脑损伤合并感染患者的临床症状,探讨肺部感染评分标准在治疗重型颅脑损伤合并感染中应用价值,以期提高疗效率。方法回顾性分析2013年1月-2015年1月于医院接受治疗的110例重型颅脑损伤患者,分析发生感染的类型、感染率及感染评分(GPIS)关系,数据采用SPSS 19.0软件进行统计分析。结果 110例重型颅脑损伤患者中发生感染39例,感染率35.45%;死亡9例,病死率为8.18%;感染部位以肺部感染为主,共21例占53.85%;生存和死亡患者感染后第1天CPIS的评分明显升高;随着治疗的时间延长,到第3天患者CPIS的评分未降低。结论肺部感染评分,用于早期监测重型颅脑损伤并发感染患者的病情发展,提高后期的治疗效果,改善预后。OBJECTIVE To analyze the clinical symptoms of patients with severe head injury combined with infection,and to discuss the application value of using pulmonary infection score to cure the patients,in order to improve the treatment efficiency.METHODS A total of 110 cases of severe traumatic brain injury patients receiving treatment in hospital from Jan.2013 to Jan.2015 were selected for retrospectively analysis,who were under analysis of the relation between type of infection,infection rate and pulmonary infection score.SPSS 19.0was used for data analysis.RESULTS Among the 110 cases of severe traumatic brain injury patients,there were 39 cases with infection,the infection rate 35.45%,and 9died,the mortality rate 8.18%.Infection was mainly pulmonary infection with 21 patients,accounting for 53.85%.The CPIS score increased obviously on the day 1after infection for both survival and died patients.After treatment,until the third day,the CPIS score still not decreased.CONCLUSIONThe lung infection rates can be used for early detection of patients with severe brain injury complicated by infection of the disease,improve the treatment effect and prognosis.

关 键 词：肺部感染评分 重型 颅脑损伤 合并感染 

分 类 号：R563.1[医药卫生—呼吸系统]