论文部分内容阅读
目的:探讨急性脑出血(AIH)患者在重症监护室感染院内获得性肺炎(HAP)相关的危险因素。方法:选取在萧山区第一人民医院ICU接受治疗的206例AIH患者,根据发生HAP与否将其分成观察组以及对照组。应用Logistic的回归分析方式对HAP危险因素进行分析。结果:观察组在再出血率及病死率等方面均高于对照组,两组差异有统计学意义(P<0.05);自理能力的评分低于对照组,两组差异有统计学意义(P<0.05)。吸烟、气管切开以及在ICU的时间等因素都和HAP密切相关。结论:合并有HAP的患者,其在死亡率以及复发率等方面均增高,其中年龄、吸烟以及在ICU的时间等因素均是HAP的主要危险因素。
Objective: To investigate the risk factors associated with nosocomial pneumonia (HAP) infection in patients with acute cerebral hemorrhage (AIH) in intensive care unit. Methods: A total of 206 AIH patients treated in the ICU of First People’s Hospital of Xiaoshan District were selected and divided into observation group and control group according to HAP or not. Logistic regression analysis was used to analyze the risk factors of HAP. Results: The rate of rebleeding and mortality in the observation group were higher than those in the control group, with significant difference between the two groups (P <0.05). The score of self-care ability was lower than that of the control group (P <0.05). Factors such as smoking, tracheotomy, and ICU time are closely related to HAP. Conclusions: Patients with HAP have higher mortality and relapse rate, among which age, smoking and ICU time are the major risk factors for HAP.