吞咽障碍筛查与前瞻性干预对神经内科住院患者吸入性肺部感染的影响研究

发布时间：2018-06-07 00:53

  本文选题：吞咽障碍筛查 + 前瞻性干预　； 参考：《中华医院感染学杂志》2017年20期

【摘要】：目的探讨吞咽障碍筛查及前瞻性干预对神经内科住院患者吸入性肺部感染的影响。方法选取医院2014年1月-2016年5月住院的324例患者为研究对象,随机分为两组,各162例。对照组予以常规干预治疗,观察组予以吞咽障碍前瞻性干预,比较两组患者疗效。结果对照组吞咽障碍53例,检出率为32.72%,观察组吞咽障碍87例,检出率为53.70%,差异有统计学意义(P0.05)。治疗4周后对照组吸入性肺部感染22例,感染率为13.58%,观察组吸入性肺部感染6例,感染率为3.70%,差异有统计学意义(P0.05)。28例感染患者共检出病原菌52株,其中革兰阴性菌33株占63.46%,革兰阳性菌17株占32.69%;对照组疗效总有效率为66.04%,观察组总有效率为81.61%,差异有统计学意义(P0.05)。治疗4周后对照组肺部感染患者白细胞计数、中性粒细胞百分比、氧合指数、胸片阴影缩小≥50%与观察组比较,差异有统计学意义(P0.05)。结论吞咽障碍筛查能提高吞咽障碍检出率,结合吞咽障碍前瞻性干预能够降低吸入性肺部感染发生率,提高患者治疗效果。
[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，

本文编号：1988942