脑出血患者微创治疗后肺部感染的流行病学调查
发布时间：2019-04-13 19:31
【摘要】：目的对脑出血患者微创治疗后肺部感染的流行病学行年度性调查,以指导临床预防治疗。方法回顾性分析2014年1-12月61例脑出血行微创治疗患者临床资料,探讨肺部感染发生情况、相关因素、相对危险度、临床表现等流行病学信息,采用SPSS19.0软件对数据进行统计分析。结果 61例患者中发生肺部感染21例,感染率为34.4%;死亡8例,病死率13.1%,肺部感染死亡相对危险度OR=2.643,发病时间多在术后1周内;肺部感染的独立影响因素包括长时间应用呼吸机、入院Glasgow评分≤5分、长期留置胃管、慢性支气管炎肺气肿、年龄≥60岁、多种抗菌药物联用;肺部感染主要病原菌为革兰阴性菌占79.4%,其对头孢曲松、头孢吡肟、环丙沙星耐药性较高;革兰阳性菌则对青霉素、苯唑西林、环丙沙星及亚胺培南耐药性较高。结论脑出血患者微创治疗后极易出现肺部感染,进而增加其病死率,临床需高度重视。
[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，
本文编号：2457870
[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，
本文编号：2457870
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