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目的探讨重症监护病房合并肺部感染的相关因素及干预对策。方法选择ICU合并肺部感染患者60例作为观察组,按照1∶1比例选择ICU患者未合并肺部感染60例作为对照组,对两组可能引起肺部感染有关的因素进行比较。结果肺部感染组平均年龄(63.67±10.12)岁、气管插管或气管切开56.67%、机械通气46.67%、预防应用抗生素36.67%均高于无肺部感染组的(57.78±15.78)岁、25.00%、18.33%、20.00%(P<0.05),是肺部感染的相关因素(P<0.05)。结论 ICU肺部感染率较高,要对老年患者及时评估及干预,加强气管插管或气管切开患者的护理,器械严格消毒,合理使用抗生素。
Objective To explore the related factors and intervention strategies of intensive care unit with pulmonary infection. Methods Sixty ICU patients with pulmonary infection were selected as the observation group. Sixty ICU patients without pulmonary infection were selected as the control group according to the ratio of 1: 1, and the two factors that may cause pulmonary infection were compared. Results The average age of the patients with pulmonary infection was (63.67 ± 10.12) years old. Tracheal intubation or tracheotomy 56.67%, mechanical ventilation 46.67%, antibiotic prevention 36.67% were higher than those without pulmonary infection (57.78 ± 15.78) 25.00%, 18.33% and 20.00%, respectively (P <0.05), were the related factors of pulmonary infection (P <0.05). Conclusions ICU has a high rate of pulmonary infection. The elderly patients should be assessed and intervened promptly to strengthen the care of patients with tracheal intubation or tracheotomy. The instruments should be sterilized strictly and the antibiotics should be used reasonably.