气管切开长期带管患者肺部感染及生活质量调查  

Pulmonary Infections and Quality of Life in Patients with Tracheal Incision

作　　者：巴春贺[1] 平萍[1] 张鸿霞[1] 刘畅[2] 王义围[1] BA Chunhe;PING Ping;ZHANG Hongxia;LIU Chang;WANG Yiwei(Department of Geriatrics,Affiliated Hospital of Chengde Medical University, Chengde 06700)

机构地区：[1]承德医学院附属医院老年病科,河北承德067000 [2]承德医学院附属医院ICU

出　　处：《解放军预防医学杂志》2017年第5期498-500,503,共4页Journal of Preventive Medicine of Chinese People's Liberation Army

摘　　要：目的探讨气管切开长期带管患者肺部感染的感染特点及生活质量分析。方法选取2012年11月-2016年11月某院重症监护室(ICU)200例气管切开长期带管患者进行研究,根据患者是否并发肺部感染分为感染组(126例)和非感染组(74例),统计分析感染组患者的感染特点,调查分析两组患者的生存质量差异。结果 200例气管长期切开带管患者中,有126例患者发生肺部感染,呼吸道分泌物中共检出268株病原菌,其中革兰氏阴性杆菌170株(63.43%)、革兰氏阳性球菌59株(22.01%)、真菌39株(14.55%);感染组患者的心理功能、生理功能、社会功能及生活质量总分均低于非感染组患者,差异具有统计学意义(P<0.05)。结论气管切开长期带管患者肺部感染的发生率较高,以革兰氏阴性杆菌感染为主,肺部感染会严重影响患者的生活质量。Objective To investigate the characteristics and quality of life of patients with pulmonary infections after tracheotomy.Methods Betweem November2012and November2016,200ICU cases of patients with tracheal tubes after tracheotomy were studied and divided into the infection group(126cases)and non-infection group(74cases)according to the occurrence of pulmonary infections.The characteristics of patients with urinary tract infections were statistically analyzed,and the quality of life was compared between the two groups.Results Among the200cases with tracheal tubes,126suffered from pulmonary infections.From respiratory secretions were detected268strains of pathogens,including170strains of gram-negative bacilli(63.43%),59strains of gram positive cocci(22.01%),and39strains of fungi(14.55%).The scores of mental function,physical function,social functioning and quality of life in the infection group were lower than in the non-infection group,and the difference was statistically significant(P<0.05).Conclusion The incidence of pulmonary infections in patients with tracheal incision is high,which is mainly caused by gram-negative bacilli,and pulmonary infections can seriously affect the quality of life of patients.

关 键 词：气管切开 长期 带管 肺部感染 生活质量 

分 类 号：R472[医药卫生—护理学]