脑出血患者术后发生肺部感染的相关危险因素分析  

Risk factors of postoperative pulmonary infection in patients with cerebral hemorrhage

作　　者：章金露 李娟[1] 吴赟 Zhang Jinlu;Li Juan;Wu Yun(The Second Affiliated Hospital of Nanchang University,Nanchang,Jiangxi 330000,China)

机构地区：[1]南昌大学第二附属医院,江西南昌330000

出　　处：《首都食品与医药》2023年第9期41-43,共3页Capital Food Medicine

摘　　要：目的分析脑出血患者术后发生肺部感染的情况,并分析相关危险因素。方法采用回顾性研究方法,选取2020年1月-2022年3月南昌大学第二附属医院收治的70例脑出血患者临床资料,根据脑出血术后肺部感染发生情况,分为发生组和未发生组。通过医院信息系统核查患者电子病历,纳入具有统计学意义的变量构建Logistic回归模型,分析脑出血患者术后发生肺部感染危险因素。结果脑出血术后患者70例,发生肺部感染12例,发生率为17.14%;发生组机械通气时间长于未发生组,且术后输液量、糖尿病及留置胃管与未发生组比较,差异有统计学意义(P<0.05);构建Logistic多元回归模型,结果显示,机械通气时间长、输液量≥3000mL、糖尿病以及留置胃管是脑出血患者术后发生肺部感染的相关危险因素(OR>1,P<0.05)。结论机械通气时间长、输液量≥3000mL、糖尿病以及留置胃管是脑出血患者术后发生肺部感染的相关危险因素。Objective To analyze the incidence of postoperative pulmonary infection in patients with cerebral hemorrhage and the related risk factors.Methods A retrospective study was conducted,and the clinical data of 70 patients with cerebral hemorrhage admitted to the hospital from January 2020 to March 2022 were studied.According to the incidence of postoperative pulmonary infection,the patients were divided into the occurrence group and the non-occurrence group.The electronic medical records of patients were checked through the hospital information system,and the Logistic regression model was built with statistically significant variables to analyze the risk factors of postoperative pulmonary infection in patients with intracerebral hemorrhage.Results There were 70 cases of cerebral hemorrhage,12 cases of pulmonary infection(17.14%).The duration of mechanical ventilation in the occurrence group was longer than that in the non-occurrence group,and the comparison of postoperative transfusion volume,diabetes mellitus and indentations gastric tube between the occurrence group and the non-occurrence group,with statistical significance(P<0.05).Multiple Logistic regression model was established,and the results showed that long mechanical ventilation time,infusion volume>3000mL,diabetes and indindent gastric tube were the riskfactors for postoperative pulmonary infection in patients with intracerebral hemorrhage(OR>1,P<0.05).Conelusion Long mechanical ventilation time,infusion volume>3000mL,diabetes mellitus and indindent gastric tube are the riskfactors for postoperative pulmonary infection in patients with intracerebral hemorrhage.

关 键 词：脑出血 肺部感染 输液量 糖尿病 留置胃管 血肿清除术 

分 类 号：R743.34[医药卫生—神经病学与精神病学]