脑外伤患者气管切开并发肺部感染危险因素及护理干预研究.docVIP

精品论文 参考文献 脑外伤患者气管切开并发肺部感染危险因素及护理干预研究 曾水珍 [摘 要]目的：研究脑外伤患者气管切开并发肺部感染危险因素及护理干预效果。方法：回顾性分析2012年1月-2014年12月本院诊治的136例脑外伤患者临床资料，按照患者有无发生肺感染分为两组，对照组78例患者均未发生感染，研究组58例患者均发生感染，观察并比较两组患者并发感染的相关危险因素情况。结果：研究组糖尿病史、吸烟史、使用抗菌药物等构成比显著高于对照组（P＜0.05，P＜0.01）；且研究组气管切开时间、GCS评分、Alb水平与对照组比较，均可见显著差别（P＜0.05，P＜0.01）。结论：脑外伤患者气管切开并发肺部感染危险因素繁多，与糖尿病史、抗菌药物、气管切开时间等具有紧密相关性，临床上针对上述危险因素给予合适的护理干预具重要意义 。 [关键词]脑外伤 气管切开 肺部感染 危险因素 护理干预 DOI:10.3760/cma.j.issn.1672-7088.2015.15.37 作者单位： 438300 湖北麻城，麻城市人民医院神经外科 [作者简介] 曾水珍（1978-），女，湖北麻城人，麻城市人民医院神经外科主管护师、护士长。 Study on the Risk Factors of Pulmonary Infection and Nursing Intervention for Patients with Traumatic Brain Injury after Tracheotomy Zeng Shuizhen Abstract： Objective To study the risk factors of pulmonary infection after tracheotomy and the effect of nursing intervention on patients with traumatic brain injury. Methods The clinical data of 136 patients with traumatic brain injury treated in our hospital from January 2012 to December 2014 were reviewed, which, according to whether the patients had pulmonary infection after undergoing tracheotomy, were divided into two groups. The 78 patients in the control group were without infection, whereas 58 patients in the study group were infected. The related risk factors of pulmonary infection were observed and compared between the two groups. Results There was a large percent of patients with diabetes history, smoking history, and use of antimicrobial agents in the study group, which was significantly higher than that in the control group (Plt;0.05, Plt;0.01). Moreover, the duration of tracheotomy, GCS score, and Alb level of the two groups showed statistically significant difference (Plt;0.05, Plt;0.01). Conclusion There are many risk factors of pulmonary infection after tracheal incision for patients with traumatic brain injury, and the pulmonary infection is closely related with the history of diabetes, antibiotics and the duration of tracheotomy, which is of significance for clinical nurs