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中文摘要: 目的 研究分析气管切开患者下呼吸道感染发生现状及影响因素,为下呼吸道感染的预防提供参考依据。方法 选取兰州市2015年1月—2018年3月期间的510例气管切开患者为研究对象,统计下呼吸道感染发生率,比较不同性别、年龄、APACHEⅡ评分、气管切开时间、机械通气时间、住院时间、抗生素应用时间、抗生素应用种类、是否合并其他部位感染及疾病种类者的下呼吸道感染发生率, 同时以多因素logistic回归分析处理上述因素与气管切开患者下呼吸道感染的关系。结果 510例气管切开患者中发生下呼吸道感染206例,发生率为40.39%,不同性别患者的感染率比较差异无统计学意义(P>0.05),不同年龄、APACHEⅡ评分、气管切开时间、机械通气时间、住院时间、抗生素应用时间、抗生素应用种类、是否合并其他部位感染及疾病种类者的感染率比较差异有统计学意义(P<0.05),多因素logistic回归分析显示,年龄、APACHEⅡ评分、气管切开时间、机械通气时间、住院时间、抗生素应用时间、抗生素应用种类、是否合并其他部位感染及疾病种类均是气管切开患者下呼吸道感染发生的影响因素。结论 气管切开患者下呼吸道感染发生率较高,影响因素较多,可根据影响因素为本类患者制定针对性的预防措施。
Abstract:Objective To study and analyze the present situation of lower respiratory tract infection and its influence factors of patients with tracheotomy, in order to provide evidence for the prevention of lower respiratory tract infection. Methods 510 patients with tracheotomy in target hospital from January 2017 to March 2018 were selected for the study, and the lower respiratory tract infection rate of all the patients was analyzed, and the lower respiratory tract infection rates of patients with different gender, ages, APACHEⅡ score, time of tracheotomy, time of mechanical ventilation, hospitalization time, time of antibiotic application, type of antibiotic application, whether or not other infection and disease types were compared,and the relationship between those factors and lower respiratory tract infection of patients with tracheotomy were analyzed by multiple factor Logistic regression analysis. Results 206 cases of 510 patients with tracheotomy were with lower respiratory tract infection, the infection rate was 40.39%, and the infection rates of patients with different gender were compared, the difference was not statistically significant (P>0.05). The infection rates of patients with different ages, APACHEⅡ score, time of tracheotomy, time of mechanical ventilation, hospitalization time, time of antibiotic application, type of antibiotic application, whether or not other infection and disease types were compared, the difference were statistically significant(P<0.05). The multiple factor Logistic regression analysis showed the influence factors of lower respiratory tract infection of patients with tracheotomy. Conclusion The lower respiratory tract infection rate of patients with tracheotomy was higher, and the influence factors were more,the targeted preventive measure should be made according to the influence factors.
文章编号:3201907038 中图分类号:R56 文献标志码:
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作者 | 单位 |
任 红① , 祁军平①# |
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