48例颈椎损伤合并院内获得性肺炎患者回顾分析

发布时间：2018-10-12 18:16

【摘要】：目的探讨颈椎损伤合并院内获得性肺炎(HAP)患者发生HAP的危险因素以及可能导致重症的高危因素。方法选择2009年1月至2012年12月收治的颈椎损伤患者173例,回顾分析48例合并HAP的原始病历资料,根据患者是否属于重症进行分组比较,记录年龄,颈椎损伤是否合并脊髓损伤及其损伤节段,ICU住院时间、接受气管插管次数与时间,慢性病患病情况等。结果重症组22例,非重症组26例。两组间ICU住院时间、机械通气时间、气管插管次数及时间、并存疾病等方面比较差异有统计学意义(P0.01)。结论颈椎损伤患者住院治疗期间发生HAP由多个因素共同作用所致,并存脊髓损伤且损伤节段在C4节段以上、ICU住院时间、机械通气时间、气管插管次数及时间、并存COPD、糖尿病、低蛋白血症等因素是重症患者的高危因素。
[Abstract]:Objective to investigate the risk factors of HAP in patients with cervical spine injury complicated with nosocomial pneumonia (HAP). Methods from January 2009 to December 2012, 173 patients with cervical spine injury were selected. The data of 48 patients with HAP were analyzed retrospectively. According to whether the patients were severe or not, the patients were divided into groups and their ages were recorded. Whether or not cervical spine injury is associated with spinal cord injury and its injury segment, ICU hospitalization time, times and time of endotracheal intubation, chronic disease and so on. Results there were 22 cases in severe group and 26 cases in non-severe group. There were significant differences in ICU hospitalization time, mechanical ventilation time, times and time of endotracheal intubation and co-existing diseases between the two groups (P0.01). Conclusion the occurrence of HAP in the patients with cervical spine injury during hospitalization is caused by multiple factors, including spinal cord injury and above C4 segment, ICU hospitalization time, time of mechanical ventilation, times and time of tracheal intubation, and COPD, diabetes mellitus. Hypoproteinemia and other factors are high risk factors in severe patients.
【作者单位】：贵阳市第四人民医院ICU;贵阳骨科医院脊柱外科;
【分类号】：R563.1

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