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目的探讨脑外科患者肺部感染的危险因素及干预对策,为降低患者肺部感染率提供参考依据。方法选取2007年2月-2015年6月在医院进行治疗的脑外科患者360例进行回顾性分析,其中观察组180例患者发生肺部感染,对照组180例患者未发生肺部感染,分析脑外科患者肺部感染危险因素,数据采用SPSS 13.0软件进行统计分析。结果 180例感染患者共分离出病原菌192株,以革兰阴性菌为主,共116株占60.4%;通过对观察组患者肺部感染高危因素多因素分析,结果显示,机械通气、住院时间、误吸窒息、昏迷、吸烟史为发生感染的独立危险因素(P<0.05)。结论脑外科患者肺部感染的危险因素多,应采取相应干预对策降低患者肺部感染发生概率,从而提高其生活质量。
Objective To explore the risk factors and intervention strategies for pulmonary infection in patients with brain surgery and to provide a reference for reducing the lung infection rate in patients. Methods Three hundred and sixty-six patients with brain surgery who were treated in the hospital from February 2007 to June 2015 were retrospectively analyzed. Among them, 180 patients in the observation group had pulmonary infection, 180 patients in the control group had no pulmonary infection, Surgical patients with pulmonary infection risk factors, the data using SPSS 13.0 software for statistical analysis. Results A total of 192 strains of pathogens were isolated from 180 infected patients, with Gram-negative bacteria as the main group, a total of 116 strains accounted for 60.4%. Multivariate analysis of the risk factors for pulmonary infection in the observation group showed that mechanical ventilation, hospital stay, Inhalation, asphyxia, coma and smoking history were independent risk factors of infection (P <0.05). Conclusion There are many risk factors for pulmonary infection in brain surgery patients. Corresponding intervention strategies should be taken to reduce the incidence of pulmonary infection in patients and improve their quality of life.