本文關(guān)鍵詞： 顱腦手術(shù) 肺部感染 危險(xiǎn)因素 目標(biāo)監(jiān)測(cè) 干預(yù)措施　出處：《中華醫(yī)院感染學(xué)雜志》2017年01期 　論文類型：期刊論文

【摘要】：目的分析顱腦術(shù)后肺部感染的危險(xiǎn)因素,探討其干預(yù)效果,為臨床診治提供參考依據(jù)。方法選擇2013年1月-2014年12月125例開(kāi)顱手術(shù)患者為對(duì)照組,另選2015年1-12月64例開(kāi)顱手術(shù)患者為觀察組,針對(duì)高危因素進(jìn)行目標(biāo)監(jiān)測(cè)和干預(yù),采用χ2檢驗(yàn)比較兩組術(shù)后并發(fā)肺部感染、限制級(jí)抗菌藥物的使用、住院時(shí)間、病死率的情況。結(jié)果單因素分析顯示,年齡≥65歲、GCS評(píng)分≤7分、預(yù)防性應(yīng)用抗菌藥、有吸煙史、ASA評(píng)級(jí)Ⅱ級(jí)、白蛋白水平30g/L、手術(shù)時(shí)間≥3h、術(shù)前血糖8mmol/L、伴有意識(shí)障礙、合并基礎(chǔ)疾病、呼吸機(jī)輔助通氣是術(shù)后肺部感染的影響因素(P0.05);多因素logistic回歸分析顯示,GCS評(píng)分≤7分、預(yù)防性應(yīng)用抗菌藥、有吸煙史、白蛋白水平30g/L、術(shù)前血糖8mmol/L、伴有意識(shí)障礙、呼吸機(jī)輔助通氣為術(shù)后肺部感染的獨(dú)立危險(xiǎn)因素(P0.05);干預(yù)后術(shù)后肺部感染率為23.44%,使用特殊級(jí)抗菌藥6例,平均住院時(shí)間(12.00±4.28)d,病死率為7.81%,均較對(duì)照組減少(P0.05)。結(jié)論顱腦術(shù)后肺部感染發(fā)生的相關(guān)危險(xiǎn)因素較多,臨床根據(jù)這些危險(xiǎn)因素采取目標(biāo)監(jiān)測(cè)和干預(yù),能降低術(shù)后肺部感染率及病死率,減少特殊級(jí)抗菌藥的使用,縮短住院時(shí)間,是預(yù)防顱腦術(shù)后肺部感染的有效措施之一。
[Abstract]:Objective to analyze the risk factors of pulmonary infection after craniocerebral surgery, to explore the effect of intervention, and to provide reference for clinical diagnosis and treatment. Methods 125 patients undergoing craniotomy from January 2013 to December 2014 were selected as control group. In addition, 64 patients undergoing craniotomy from January to December of 2015 were selected as observation group. The objective monitoring and intervention were carried out for high risk factors. 蠂 2 test was used to compare the postoperative pulmonary infection, the use of restricted antibiotics, and the length of stay in hospital between the two groups. Results univariate analysis showed that age 鈮，

本文編號(hào)：1519930