罹患慢性中枢神经系统疾病高龄退伍老兵吸入性肺炎相关危险因素分析

发布时间：2018-05-26 06:12

本文选题：中枢神经系统疾病 + 吸入性肺炎　；参考：《中华医院感染学杂志》2017年08期

【摘要】：目的回顾性分析罹患中枢神经系统慢性病变高龄退伍老兵重症患者发生吸入性肺炎的相关危险因素,为临床治疗提供参考依据。方法回顾性纳入了2015年医院神经内科以及呼吸科住院的患有中枢神经系统慢性病变的重症高龄退伍老兵73例,根据患者有无发生吸入性肺炎分为两组,吸入性肺炎组35例及无吸入性肺炎组38例,将患者基本资料以及管饲喂养相关危险因素进行组间比较。结果 73名患者中有35人发生了吸入性肺炎,吸入性肺炎的发生率为47.9%;危险因素分析结果显示:误吸、喂养持续时间及喂养时床头抬高角度30°是发生吸入性肺炎的相关危险因素(P0.05)。结论建议在这类患者护理管理中,优化喂养持续时间以及床头抬高30~45°以减少误吸及吸入性肺炎的发生。
[Abstract]:Objective to analyze the risk factors of inhaled pneumonia in elderly veterans with chronic diseases of central nervous system (CNS) and to provide reference for clinical treatment. Methods 73 elderly veterans with chronic central nervous system diseases were retrospectively included in the department of neurology and respiratory department in the hospital in 2015. They were divided into two groups according to whether the patients had inhaled pneumonia. 35 cases of aspiration pneumonia group and 38 cases of non-aspiration pneumonia group were compared with each other in terms of basic data of patients and risk factors related to tube feeding. Results 35 out of 73 patients had inhaled pneumonia, and the incidence of aspiration pneumonia was 47.9. The duration of feeding and the 30 掳elevation angle of bed head were the risk factors of aspiration pneumonia (P 0.05). Conclusion in the nursing management of this kind of patients, it is suggested to optimize the feeding duration and raise the bed head by 30 掳45 掳to reduce the incidence of aspiration and aspiration pneumonia.
【作者单位】：解放军总医院南楼呼吸科重症监护室;解放军总医院呼吸科;解放军总医院消化科;解放军总医院护理部;
【基金】：解放军总医院临床科研扶持基金资助项目(2016FC-TSYS-1030)
【分类号】：R563.1

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