ICU患者肺部感染原因分析与护理措施研究  

Cause Analysis and Nursing Measures of Pulmonary Infection in ICU Patients

作　　者：叶凤鸣 

机构地区：[1]广州医科大学附属第一医院重症医学科,广东 广州

出　　处：《护理学》2022年第3期406-410,共5页Nursing Science

摘　　要：目的:分析ICU患者肺部感染的影响因素及对应的护理措施。方法:采用简单随机抽样的方式选取2021年2月~2022年3月在我院ICU住院的90例患者作为本次研究对象。其中45例患者发生肺部感染,将其纳入研究组,45例患者未发生肺部感染,将其纳入对照组。先对肺部感染患者下呼吸道标本(痰、经气管插管抽吸物或支气管肺泡灌洗液)送检培养结果进行分析,并采用二元Logistics回归分析ICU患者肺部感染的危险因素。结果:年龄、糖皮质激素使用时间、既往基础病史、抗菌药物使用种类等为ICU患者肺部感染的关键影响因素。结论:ICU患者肺部感染与多种因素有关,临床应实施激素和抗菌药物监测、高频护理等措施。Objective:To analyze the influencing factors of pulmonary infection in ICU patients andthe corresponding nursing measures. Methods: 90 patients hospitalized in ICU ofour hospital from February 2021 to March 2022 were selected by simple random sampling.45 patients with pulmonary infection were included in the study group, and 45patients without pulmonary infection were included in the control group.Firstly, the culture results of lower respiratory tract samples (sputum,aspirate through trachea intubation or bronchoalveolar lavage fluid) frompatients with pulmonary infection were analyzed, and the risk factors ofpulmonary infection in ICU patients were analyzed by binary logisticregression. Results: Age, duration of glucocorticoid use, previous basicmedical history and types of antibiotics were the key influencing factors ofpulmonary infection in ICU patients. Conclusion: Pulmonary infection in ICUpatients is related to many factors. Hormone and antibiotics monitoring,high-frequency nursing and other measures should be implemented in clinic.

关 键 词：ICU 肺部感染 护理措施 

分 类 号：R473[医药卫生—护理学]