非急性期脑卒中气管切开患者肺部感染现状及影响因素  

Pulmonary infection in non-acute stroke patients undergoing tracheotomy:incidence and influencing factors

作　　者：李舒鑫 史素玲 陈媛[3] 林炜明 王玉龙 谢小华[3] 高焱[3] Li Shuxin;Shi Suling;Chen Yuan;Lin Weiming;Wang Yulong;Xie Xiaohua;Gao Yan(School of Nursing,Henan University of Science and Technology,Luoyang 471000,China)

机构地区：[1]河南科技大学护理学院,河南洛阳471000 [2]河南科技大学第一附属医院护理部 [3]深圳市第二人民医院(深圳大学第一附属医院)康复医学科

出　　处：《护理学杂志》2023年第8期30-32,43,共4页Journal of Nursing Science

基　　金：深圳市“医疗卫生三名工程”项目资助(SZSM202111010);深圳市第二人民医院临床研究项目(20213357006)。

摘　　要：目的了解非急性期脑卒中气管切开患者肺部感染现状,并分析其影响因素,为制订针对性预防措施提供参考。方法回顾性收集康复科住院的非急性期脑卒中气管切开患者181例的临床资料,分析肺部感染现状,并对其影响因素进行logistic回归分析。结果患者肺部感染发生率为43.6%;共检出病原菌72株,其中革兰阴性菌66株、革兰阳性菌6株。logistic回归分析显示,低蛋白血症、GCS评分、性别以及电动起立床治疗情况是非急性期脑卒中气管切开患者肺部感染的主要影响因素(均P<0.05)。结论非急性期脑卒中气管切开患者肺部感染发生率高,需针对影响因素实施护理干预,以预防肺部感染。Objective To investigate incidence of pulmonary infection in non-acute stroke patients undergoing tracheotomy,and to analyze its influencing factors,so as to provide a reference for developing targeted preventive interventions.Methods The clinical data of 181 non-acute stroke patients undergoing tracheotomy in the rehabilitation department were retrospectively collected,the incidence of pulmonary infection was investigated,and its influencing factors were analyzed using logistic regression analysis.Results The incidence of pulmonary infection was 43.6%,and a total of 72 strains of pathogenic bacteria were detected,including 66 strains of gram-negative bacteria and 6 strains of gram-positive bacteria.The logistic regression analysis showed that,hypoproteinemia,Glasgow Coma Scale score,gender and electric standing bed treatment were the main influencing factors of pulmonary infection in non-acute stroke patients undergoing tracheotomy(all P<0.05).Conclusion The incidence of pulmonary infection in non-acute stroke patients undergoing tracheotomy is high,thus it is necessary to conduct nursing intervention according to its influencing factors,so as to prevent pulmonary infection.

关 键 词：脑卒中 非急性期 气管切开 肺部感染 病原菌 低蛋白血症 意识障碍 

分 类 号：R47[医药卫生—护理学] R49[医药卫生—临床医学]