ICU重症脑出血患者院内肺部感染原因与疗效分析  

Analysis of Cause and Therapeutic Effect of Nosocomial Pulmonary Infection in ICU Patients with Severe Cerebral Hemorrhage

作　　者：魏晓露 张凤香 Wei Xiaolu;Zhang Fengxiang(The First Affiliated Hospital of Jinzhou Medical University,Jinzhou 121000 China)

机构地区：[1]锦州医科大学附属第一医院,辽宁锦州121000

出　　处：《锦州医科大学学报》2023年第3期76-79,84,共5页Journal of Jinzhou Medical University

基　　金：辽宁省自然基金项目,项目编号:2019-ZD-0833

摘　　要：目的探讨ICU重症脑出血患者院内肺部感染原因分析与治疗效果。方法选取2021年3月至2022年8月锦州医科大学附属第一医院ICU收治的重症脑出血患者80例,根据是否发生院内肺部感染实分为未感染组30例、感染组50例,并分别将其作为对照组与试验组,分析ICU重症脑出血患者院内肺部感染原因,对两组患者均采取常规的治疗方式,观察两组的临床治疗总有效率情况、并发症发生率情况。结果年龄、性别、住院时间、吸烟史、呼吸机使用时间、合并COPD、昏迷、气管切开、合并糖尿病均为导致ICU重症脑出血患者院内肺部感染的重要因素;年龄≥60岁、住院时间≥14 d、吸烟史、合并COPD、昏迷、糖尿病、气管切开、呼吸机使用时间≥3 d是导致ICU重症脑出血患者院内肺部感染的独立危险因素(P<0.05)。试验组的临床治疗总有效率明显较高,并发症发生率明显较低,两组指标的差异具有较大的显著性(P<0.05)。结论年龄≥60岁、住院时间≥14 d、吸烟史、合并COPD、昏迷、糖尿病、气管切开、呼吸机使用时间≥3 d是导致ICU重症脑出血患者院内肺部感染的独立危险因素,需要采取有效的措施进行治疗干预。Objective To analyze the cause and therapeutic effect of nosocomial pulmonary infection in ICU patients with severe cerebral hemorrhage.Methods A total of 80 patients with severe cerebral hemorrhage admitted to ICU of our hospital from March 2021 to August 2022 were selected and divided into an uninfected group(30 cases)and an infected group(50 cases)according to whether nosocomial pulmonary infection occurred.These patients were respectively selected as control group and experimental group to analyze the causes of nosocomial pulmonary infection in ICU patients with severe cerebral hemorrhage.Both groups were treated with conventional treatment methods.The total effective rate and complication rate of the two groups were observed.Results Age,gender,length of hospital stay,smoking history,ventilator use time,COPD,coma,tracheotomy,diabetes mellitus were all important factors leading to nosocomial pulmonary infection in ICU patients with severe cerebral hemorrhage.Age≥60 years old,hospital stay≥14 d,smoking history,COPD,coma,diabetes,tracheotomy,ventilator use time≥3 d were independent risk factors for nosocomial pulmonary infection in ICU patients with severe cerebral hemorrhage(P<0.05).The total effective rate of clinical treatment in the experimental group was significantly higher,and the complication rate was significantly lower,and the difference between the two groups was significant(P<0.05).Conclusion Age≥60 years old,hospital stay≥14 d,smoking history,COPD,coma,diabetes,tracheotomy,ventilator use time≥3 d are independent risk factors for nosocomial pulmonary infection in ICU patients with severe cerebral hemorrhage,and effective measures should be taken for treatment and intervention.

关 键 词：重症脑出血 ICU院内肺部感染 原因 治疗效果 

分 类 号：R743.3[医药卫生—神经病学与精神病学]