急性心肌梗死患者主动脉内球囊反搏术后下呼吸道感染的风险与预后研究

发布时间：2018-04-02 05:01

本文选题：急性心肌梗死　切入点：主动脉内球囊反搏术　出处：《中华医院感染学杂志》2016年03期

【摘要】：目的探讨急性心肌梗死患者行主动脉内球囊反搏术(IABP)后发生下呼吸道感染风险及临床特点,为临床治疗提供参考。方法随机选取2012年1月-2015年1月急性心肌梗死行主动脉内球囊反搏术(IABP)后发生下呼吸道感染的58例患者为观察组,另选择同期未发生下呼吸道感染的58例患者为对照组,比较两组患者的临床特征分布特点,并分析患者术后发生下呼吸道感染的危险因素,统计患者治疗前后并发症发生率。结果对照组患者在性别、左心室射血分数、合并呼吸道疾病以及合并肾功能不全等方面与对照组比较差异无统计学意义,而在年龄、术前白细胞水平、抗菌药物使用种类及使用时间、深静脉置管、有创通气以及是否合并糖尿病等与对照组比较差异有统计学意义(P0.05)。结论内球囊反搏术后发生下呼吸道感染的主要相关因素多,应采取干预措施,以降低患者术后下呼吸道感染的风险。
[Abstract]:Objective to investigate patients with acute myocardial infarction treated with intra aortic balloon counterpulsation (IABP) after the occurrence and clinical characteristics of lower respiratory tract infection risk, to provide reference for clinical treatment. Methods randomly selected from January 2012 January -2015 acute myocardial infarction by intra aortic balloon counterpulsation (IABP) occurred in 58 cases of lower respiratory tract infection patients the other has not occurred during the same period, 58 cases of lower respiratory tract infection patients as control group, compared two groups of patients with clinical feature, risk factors of lower respiratory tract infection and analysis of patients with postoperative patients before and after treatment, statistical complications. Results the patients in the control group in gender, left ventricular ejection fraction, respiratory tract combined disease and renal insufficiency compared with the control group, no significant difference in age, preoperative levels of white blood cells, and use time of antibiotics, deep Venous catheter, invasive ventilation and whether diabetes compared with the control group had statistical significance (P0.05). Conclusion balloon counterpulsation occurred after the main related factors of lower respiratory tract infection, should take intervention measures to reduce the risk of lower respiratory tract infection in patients after surgery.

【作者单位】：金华市中心医院心胸外科;
【基金】：浙江省科技厅研究基金资助项目(ZJ211474-03) 浙江省金华市社会发展类重点基金项目(2013-3-013)
【分类号】：R542.22

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