论文部分内容阅读
目的研究分析颅脑损伤术后肺部感染的相关危险因素。方法 2008年1月~2013年10月期间收集我院治疗的1 121例颅脑损伤手术患者,其中男性642例,女性479例;年龄19~72岁,平均(43.2±15.4)岁。根据是否合并肺部感染分为观察组与对照组,比较分析年龄、肺基础疾病、格拉斯哥昏迷(GCS)评分、急性肺损伤、昏迷时间、卧床时间等因素。结果观察组年龄、肺基础疾病、GCS评分、急性肺损伤、昏迷时间、卧床时间与对照组相比较,差异均具有统计学意义(P<0.05);但是两组性别比较差异无统计学意义(P>0.05)。观察组抗生素、抑酸剂、脱水剂、糖皮质激素等药物应用时间显著高于对照组,差异均具有统计学意义(P<0.05);但是观察组接受机械通气治疗的比例高于对照组,亦具有统计学意义(P<0.05)。结论颅脑损伤术后肺部感染与多种危险因素相关,医护人员应提高认识,从而减少其危险因素,提高患者治疗质量和改善预后。
Objective To analyze the related risk factors of lung infection after craniocerebral injury. Methods A total of 1 121 traumatic brain injury patients treated in our hospital from January 2008 to October 2013 were collected, including 642 males and 479 females, aged from 19 to 72 years (mean, 43.2 ± 15.4 years). The patients were divided into observation group and control group according to whether the pulmonary infection was complicated or not. The age, basic lung disease, Glasgow coma (GCS) score, acute lung injury, coma time and bed rest time were compared. Results There were significant differences in age, pulmonary underlying disease, GCS score, acute lung injury, coma time and bed rest time in the observation group compared with the control group (P <0.05), but there was no significant difference between the two groups P> 0.05). The application time of antibiotics, antacids, dehydrating agents and glucocorticoids in the observation group was significantly higher than that in the control group (P <0.05). However, the proportion of patients receiving mechanical ventilation in the observation group was higher than that in the control group Also statistically significant (P <0.05). Conclusion Pulmonary infection after craniocerebral injury is associated with many risk factors. Health care workers should raise their awareness so as to reduce their risk factors, improve the quality of treatment and improve the prognosis.