【摘要】：目的對(duì)腦出血患者微創(chuàng)治療后肺部感染的流行病學(xué)行年度性調(diào)查,以指導(dǎo)臨床預(yù)防治療。方法回顧性分析2014年1-12月61例腦出血行微創(chuàng)治療患者臨床資料,探討肺部感染發(fā)生情況、相關(guān)因素、相對(duì)危險(xiǎn)度、臨床表現(xiàn)等流行病學(xué)信息,采用SPSS19.0軟件對(duì)數(shù)據(jù)進(jìn)行統(tǒng)計(jì)分析。結(jié)果 61例患者中發(fā)生肺部感染21例,感染率為34.4%;死亡8例,病死率13.1%,肺部感染死亡相對(duì)危險(xiǎn)度OR=2.643,發(fā)病時(shí)間多在術(shù)后1周內(nèi);肺部感染的獨(dú)立影響因素包括長(zhǎng)時(shí)間應(yīng)用呼吸機(jī)、入院Glasgow評(píng)分≤5分、長(zhǎng)期留置胃管、慢性支氣管炎肺氣腫、年齡≥60歲、多種抗菌藥物聯(lián)用;肺部感染主要病原菌為革蘭陰性菌占79.4%,其對(duì)頭孢曲松、頭孢吡肟、環(huán)丙沙星耐藥性較高;革蘭陽性菌則對(duì)青霉素、苯唑西林、環(huán)丙沙星及亞胺培南耐藥性較高。結(jié)論腦出血患者微創(chuàng)治療后極易出現(xiàn)肺部感染,進(jìn)而增加其病死率,臨床需高度重視。
[Abstract]:Objective to investigate the epidemiological characteristics of pulmonary infection after minimally invasive treatment in patients with intracerebral hemorrhage (ICH), so as to guide the clinical prevention and treatment. Methods the clinical data of 61 patients with cerebral hemorrhage treated with minimally invasive therapy from January to December in 2014 were retrospectively analyzed, and the epidemiological information, such as the occurrence of pulmonary infection, related factors, relative risk, clinical manifestation, and so on, were analyzed retrospectively. SPSS19.0 software was used for statistical analysis of the data. Results there were 21 cases of pulmonary infection (34.4%), 8 cases of death (13.1%) and the relative risk of death of pulmonary infection (OR=2.643,) occurred within 1 week after operation, the infection rate was 34.4%, the mortality rate was 13.1% and the mortality rate was 13.1%. The independent influencing factors of pulmonary infection included long-term use of ventilator, admission Glasgow score 鈮，

本文編號(hào)：2457870