论文部分内容阅读
目的:分析重度颅脑损伤并发医院感染患者的危险因素及其对策。方法:选取2013年12月—2016年12月间收治的重型颅脑损伤患者320例,通过医院感染诊断发现98例患者发生医院感染作为观察组,并随机抽取与这98例入院时间相同、病情相同以及病房相同但没有发生医院感染的患者132例作为对照组,比较和分析发生医院感染的危险因素存在的差异。结果:98例医院感染患者中,单一部位感染患者为64例,2个部位感染患者为26例,3个以上部位感染患者为8例;经单因素分析与因素和因素之间交互、混杂作用有关,通过逐步法对单因素存在意义的11种因素展开Logistic回归性分析,结果发现抗生素种类、重症监护、雾化吸入和留置胃管为危险因素;基于标准偏回归系数分析发现,其中使用种类中具有最强作用的是抗生素。结论:重症颅脑损伤患者并发医院感染的发生存在多种因素,除留置胃管导致误吸、空腹血糖上升、雾化吸入引发污染以及抗生素使用种类之外,伴有慢性病、重症基础疾病等同样是导致患者发生医院感染的重要危险因素,通过强化医院感染监护工作能有效控制或减少医院感染的发生。
Objective: To analyze the risk factors and countermeasures of nosocomial infection in patients with severe craniocerebral injury. Methods: A total of 320 patients with severe craniocerebral injury who were admitted between December 2013 and December 2016 were enrolled. A total of 98 patients were found to have nosocomial infection as observation group by nosocomial infection and were randomly divided into the same hospitalization time 132 patients with the same hospital ward and the same but no nosocomial infection as control group were compared and analyzed for the risk factors for nosocomial infection. Results: Of the 98 hospital-acquired cases, 64 cases were infected in a single site, 26 cases were infected in two sites and 8 cases were infected in more than three sites. The univariate analysis showed that the interaction between factors and factors was mixed Logistic regression analysis of 11 factors with single factor significance by step by step showed that the types of antibiotics, intensive care, inhalation and indwelling gastric tube were risk factors. Based on the standard partial regression coefficient analysis, it was found that the type In the strongest role is the antibiotic. CONCLUSIONS: There are many factors that may lead to nosocomial infections in patients with severe traumatic brain injury. In addition to indwelling gastric tube, aspiration, fasting blood glucose, pollution caused by atomized inhalation, and the types of antibiotics used, chronic diseases, severe basic diseases, Is an important risk factor that causes nosocomial infection in patients. It can effectively control or reduce the occurrence of nosocomial infection by strengthening nosocomial infection monitoring.