ICU脑出血患者肺部感染的影响因素分析

目的探讨影响ICU脑出血患者肺部感染的因素。方法选择我院ICU 2015-07-2016-07收治的脑出血患者111例为研究对象,回顾性分析其治疗过程和临床资料,运用Logistic回归分析对脑出血患者肺部感染的危险因素进行多因素分析。结果通过气管切开方式开放气道或气管插管及使用呼吸机时间≥3d的患者出现肺部感染的风险明显上升(P0.05);合并昏迷及慢性阻塞性肺疾病、住院时间≥14d、既往吸烟史且年龄≥60岁患者发生肺部感染的比率上升(P0.05);Logistic多因素分析发现,肺部感染与气管切开或气管插管、运用呼吸机时间≥3d、昏迷、合并慢性阻塞性肺疾病、住院时间≥14d、有吸烟史及年龄≥60岁等因素有关。结论 ICU脑出血患者出现肺部感染的影响因素有很多,应该加强病情监测,采取有效措施预防肺部感染,降低病死率。

Influencing factors of pulmonary infection in patients with ICU intracerebral hemorrhage

Objective To explore the factors influencing pulmonary infection in ICU patients with cerebral hemorrhage.Methods A total of 111 patients with intracerebral hemorrhage were enrolled in our hospital from July 2015 to July 2016.The treatment and clinical data were analyzed retrospectively.Logistic regression analysis was used to analyze the incidence of pulmonary infection in patients with cerebral hemorrhage risk factors.Results The risk of pulmonary infection was significantly increased in patients with airway or endotracheal intubation and trachea with ≥ 3 d (P<0.05).The coma and chronic obstructive pulmonary disease and hospital stay were ≥14 days (P<0.05).At the same time,Logistic multivariate analysis showed that pulmonary infection was associated with tracheotomy or tracheal intubation,and the ventilator time was greater than or equal to 3 days,coma,combined with chronic obstructive pulmonary disease,hospital stay ≥ 14 days,smoking history and age ≥ 60 years (P<0.05).Conclusion There are many influencing factors for pulmonary infection in ICU patients with cerebral hemorrhage.Surveillance should be carried out,effective preventive measures should be taken to prevent lung infection and reduce mortality.