循证干预对股骨粗隆间骨折患者肺部感染的预防效果研究

发布时间：2018-06-02 04:52

本文选题：循证干预 + 股骨粗隆间骨折　；参考：《中华医院感染学杂志》2014年21期

【摘要】：目的采用循证干预对股骨粗隆间骨折患者发生肺部感染的可能性进行预测性分析,以减少股骨粗隆间骨折患者发生肺部感染的可能性。方法选取2012年4月-2013年6月180例股骨粗隆间骨折患者,随机分为两组,分别为观察组和对照组,每组90例患者,两组患者的性别和年龄分布与治疗方式等差异均无统计学意义;对照组给予常规的护理措施,观察组给予循证干预措施的治疗方式。结果通过循证支持得出患者肺部感染的影响因素为呼吸系统功能衰退、易误吸和缺乏有效的咳嗽;观察组股骨粗隆间骨折患者的肺部感染率为11.1%,明显低于对照组的28.9%,差异均有统计学意义;观察组患者呼吸功能的临床观察指标评分优于对照组,两者差异有统计学意义。结论通过循证干预措施可以明显的减少股骨粗隆间骨折患者肺部感染的发生。
[Abstract]:Objective to analyze the possibility of pulmonary infection in patients with intertrochanteric fracture by using evidence-based intervention, so as to reduce the possibility of pulmonary infection in patients with intertrochanteric fracture of femur. Methods from April 2012 to June 2013, 180 patients with intertrochanteric fracture of femur were randomly divided into two groups: observation group and control group. There were 90 patients in each group. There was no significant difference in sex and age distribution and treatment method between the two groups. The control group was given routine nursing measures, and the observation group was treated with evidence-based intervention. Results the influencing factors of pulmonary infection were the decline of respiratory system function, easy aspiration and lack of effective cough. The pulmonary infection rate of patients with intertrochanteric fracture of femur in the observation group was 11.1, which was significantly lower than that in the control group (28.9B), the difference was statistically significant; the clinical observation index score of respiratory function in the observation group was better than that in the control group, and the difference between the two groups was statistically significant. Conclusion Evidence-based intervention can significantly reduce the incidence of pulmonary infection in patients with intertrochanteric fracture of femur.
【作者单位】：日照市人民医院预防保健科;山东电力中心医院神经内科;
【基金】：国家自然科学基金资助项目(30571997)
【分类号】：R563.1

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