基于Logistic回归分析150例ICU重症颅脑损伤患者肺部感染的研究  

Study on Pulmonary Infection in 150 Patients With Severe Craniocerebral Injury in ICU Based on Logistic Regression Analysis

作　　者：窦晶晶[1] 张研[1] 王姣平[1] Dou Jingjing;Zhang Yan;Wang Jiaoping(Department of Surgical Care Unit,Anyang People's Hospital,Anyang 455000,China)

机构地区：[1]安阳市人民医院外科监护室,河南安阳455000

出　　处：《哈尔滨医药》2022年第6期7-9,共3页Harbin Medical Journal

摘　　要：目的 基于Logistic回归分析150例重症监护病房(ICU)重症颅脑损伤患者并发肺部感染的相关因素。方法 选取ICU收治的150例重症颅脑损伤患者作为研究对象,记录患者肺部感染情况与基线资料,分析ICU重症颅脑损伤患者肺部感染的影响因素。结果 150例重症颅脑损伤患者,发生肺部感染41例(27.33%),未发生感染109例(72.67%);两组GCS评分、早期机械通气、吸烟史、气管切开比较,差异有统计学意义(P<0.05);经Logistic回归分析结果显示,GCS评分低,早期机械通气、有吸烟史、气管切开是导致ICU重症颅脑损伤患者发生肺部感染的影响因素(OR>1,P<0.05)。结论 ICU重症颅脑损伤患者发生肺部感染受患者GCS评分、早期机械通气、吸烟史、气管切开因素影响。Objective To analyze the related factors of pulmonary infection in 150 patients with severe craniocerebral injury in intensive care unit(ICU)based on logistic regression.Methods 150 patients with severe craniocerebral injury treated in ICU were selected as the research object.The pulmonary infection and baseline data were recorded,and the influencing factors of pulmonary infection in patients with severe craniocerebral injury in ICU were analyzed.Results Among 150 patients with severe craniocerebral injury,41 patients(27.33%)had pulmonary infection,and 109 patients(72.67%)had no pulmonary infection.There were statistically significant differences in GCS score,early mechanical ventilation,smoking history and tracheotomy between the two groups(P <0.05).Logistic regression analysis showed that low GCS score,early mechanical ventilation,smoking history and tracheotomy were the influencing factors of pulmonary infection in ICU patients with severe craniocerebral injury(OR >1,P <0.05).Conclusion Pulmonary infection in ICU patients with severe craniocerebral injury is affected by GCS score,early mechanical ventilation,smoking history and tracheotomy.

关 键 词：重症颅脑损伤 肺部感染 影响因素 早期机械通气 吸烟史 

分 类 号：R651.15[医药卫生—外科学]