本文選題：吞咽障礙篩查 + 前瞻性干預(yù)��； 參考：《中華醫(yī)院感染學(xué)雜志》2017年20期

【摘要】：目的探討吞咽障礙篩查及前瞻性干預(yù)對神經(jīng)內(nèi)科住院患者吸入性肺部感染的影響。方法選取醫(yī)院2014年1月-2016年5月住院的324例患者為研究對象,隨機(jī)分為兩組,各162例。對照組予以常規(guī)干預(yù)治療,觀察組予以吞咽障礙前瞻性干預(yù),比較兩組患者療效。結(jié)果對照組吞咽障礙53例,檢出率為32.72%,觀察組吞咽障礙87例,檢出率為53.70%,差異有統(tǒng)計學(xué)意義(P0.05)。治療4周后對照組吸入性肺部感染22例,感染率為13.58%,觀察組吸入性肺部感染6例,感染率為3.70%,差異有統(tǒng)計學(xué)意義(P0.05)。28例感染患者共檢出病原菌52株,其中革蘭陰性菌33株占63.46%,革蘭陽性菌17株占32.69%;對照組療效總有效率為66.04%,觀察組總有效率為81.61%,差異有統(tǒng)計學(xué)意義(P0.05)。治療4周后對照組肺部感染患者白細(xì)胞計數(shù)、中性粒細(xì)胞百分比、氧合指數(shù)、胸片陰影縮小≥50%與觀察組比較,差異有統(tǒng)計學(xué)意義(P0.05)。結(jié)論吞咽障礙篩查能提高吞咽障礙檢出率,結(jié)合吞咽障礙前瞻性干預(yù)能夠降低吸入性肺部感染發(fā)生率,提高患者治療效果。
[Abstract]:Objective to investigate the effect of dysphagia screening and prospective intervention on inhaled pulmonary infection in inpatients with neurology. Methods 324 patients in hospital from January 2014 to May 2016 were randomly divided into two groups: 162 cases each. The patients in the control group were treated with routine intervention, and the patients in the observation group were treated with prospective intervention of dysphagia. Results there were 53 cases of dysphagia in the control group (32.72%) and 87 cases (53.70%) in the observation group. The difference was statistically significant (P 0.05). After 4 weeks of treatment, there were 22 cases of inhaled pulmonary infection in the control group, and the infection rate was 13.58. In the observation group, there were 6 cases of inhaled pulmonary infection, and the infection rate was 3.70. The difference was statistically significant (P 0.05). A total of 52 strains of pathogenic bacteria were detected in 28 cases of infection. Among them 33 Gram-negative bacteria accounted for 63.46 and 17 Gram-positive bacteria accounted for 32.69.The total effective rate in the control group was 66.04 and the total effective rate in the observation group was 81.61.The difference was statistically significant (P 0.05). The white blood cell count, neutrophil percentage, oxygenation index and chest film shadow of the patients with pulmonary infection in the control group were reduced by 鈮，

本文編號：1988942