高血压脑出血术后肺部感染相关因素分析及护理对策  

Analysis of related factors and nursing measures of postoperative pulmonary infection in patients with hypertensive intracerebral hemorrhage

作　　者：张美琼[1] ZHANG Mei-qiong(Department of Neurosurgery,Xinhui District People's Hospital,Jiangmen Guangdong 529100,China)

机构地区：[1]江门市新会区人民医院神经外科,广东江门529100

出　　处：《医学食疗与健康》2021年第28期267-268,共2页Medical Diet and Health

摘　　要：目的:分析高血压脑出血术后肺部感染相关因素分析及护理措施。方法:本次研究中所选取的58例研究对象,均为2018年6月至2020年6月期间在我院诊治的高血压脑出血患者,所有患者均采取手术治疗,其中有22例患者发生肺部感染(参照组),另外36患者未发生肺部感染(对照组),比较两组患者的GCS评分及引起参照组发生感染的因素。结果:参照组GCS评分与对照组比较,试验组要高于对照组,具有统计学差异显著(P<0.05);引起肺部感染的因素较多,包含昏迷、误吸、营养供给不足、既往有肺部疾病,其中占比最高的为昏迷40.91%(9/22)、误吸27.27%(6/22)。结论:诱发高血压脑出血术后患者发生肺部感染的因素较多,临床需给予高度重视,加强护理干预,以此来减少发生肺部感染风险,改善患者的预后,降低病死率。Objective:To analyze the related factors and nursing measures of postoperative pulmonary infection in patients with hypertensive intracerebral hemorrhage.Methods:58 patients with hypertensive intracerebral hemorrhage in our hospital from June 2018 to June 2020 were selected in this study.All patients were treated with surgery.Among them,22 patients had pulmonary infection(reference group),and 36 patients had no pulmonary infection(control group)factor.Results:Compared with the control group,the GCS score of the experimental group was higher than that of the control group,the difference was statistically significant(P<0.05);there were many factors causing pulmonary infection,including coma,aspiration,insufficient nutrition supply,and previous pulmonary diseases,among which the highest proportion was dizziness(40.91%),aspiration(27.27%).Conclusion:There are many factors causing pulmonary infection in patients with hypertensive intracerebral hemorrhage after operation,which should be paid great attention to in clinic and strengthen nursing intervention,so as to reduce the risk of pulmonary infection,improve the prognosis of patients and reduce the mortality rate.

关 键 词：高血压 脑出血 术后 肺部感染 

分 类 号：R473.74[医药卫生—护理学]