保护性通气法对颅内动脉瘤并蛛网膜下腔出血肺部感染患者介入术后病原菌分布及其炎症反应的研究

发布时间：2018-07-21 10:10

【摘要】：目的对颅内动脉瘤并蛛网膜下腔出血潜伏肺部感染患者介入术后病原菌分布及其血液炎症因子C-反应蛋白(CRP)和炎症细胞进行研究,为临床相关诊断和治疗提供参考。方法医院介入手术室2011年6月-2015年12月,实施全麻颅内动脉瘤并蛛血弹簧圈介入栓塞术患者120例,随机分成Ⅰ组、Ⅱ组、对照组(Ⅲ组),各60例;采用全自动微生物鉴定仪对分离的病原菌进行鉴定,分析患者感染后CRP和炎症细胞的变化。结果 60例感染患者共分离98株病原菌,以革兰阴性菌为主,共63株占64.3%;Ⅰ组、Ⅱ组、Ⅲ组炎症因子和炎症细胞反应因子进行比较,差异均有统计学意义(P0.05)。结论颅内动脉瘤并蛛血患者术后病原菌感染以革兰阴性菌为主,且感染患者的炎症因子和炎症细胞含量与术前蛛网膜下腔出血评分(Hunt-Hess Scale)和全麻通气方式相关。
[Abstract]:Objective to study the distribution of pathogenic bacteria, C-reactive protein (CRP) and inflammatory cells after interventional operation in patients with intracranial aneurysms complicated with latent pulmonary infection with subarachnoid hemorrhage, so as to provide reference for clinical diagnosis and treatment. Methods from June 2011 to December 2015, 120 patients with intracranial aneurysms under general anesthesia and interventional embolization with spiders' blood coils were randomly divided into three groups: group 鈪，

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