脑出血术后人工气道干预患者下呼吸道感染危险因素调查与护理对策

目的调查分析脑出血术后人工气道干预患者发生下呼吸道感染的危险因素,并提出相关的护理对策。方法采取回顾性调查方法,选取我院2017年1月至2019年1月86例因脑出血术后行人工气道干预患者为研究对象,发生下呼吸道感染43例,采用多因素logistic回归法分析发生下呼吸道感染的危险因素。结果年龄过大(OR=4.402)、合并慢性肺部疾病(OR=6.290)和GCS评分过低(OR=4.015)是患者发生下呼吸道感染的独立危险因素(P<0.05),抗生素应用(OR=0.187)和卫生饮食宣教(OR=0.456)是发生下呼吸道感染的保护因素(P<0.05)。结论脑出血术后人工气道干预患者发生下呼吸道感染危险因素多且复杂,医护人员需合理分析患者病情,及时实施有效方法降低感染率。

Investigation on risk factors of lower respiratory tract infection in patients with artificial airway intervention after cerebral hemorrhage and its nursing countermeasures

Objective To investigate and analyze the risk factors of lower respiratory tract infection in patients with artificial airway intervention after cerebral hemorrhage,and to propose related nursing countermeasures.Methods A retrospective survey method was adopted,and 86 cases of patients with artificial airway intervention after cerebral hemorrhage in our hospital from January 2017 to January 2019 were selected as the study subjects.Of which 43 cases of lower respiratory tract infection occurred.Multivariate logistic regression was used to analyze the risk factors for lower respiratory tract infections.Results The older age(OR=4.402),concurrent chronic lung disease(OR=6.290)and low GCS score(OR=4.015)were the independent risk factors for patients with lower respiratory tract infection(P<0.05),and the application of antibiotics(OR=0.187)and health dietary education(OR=0.456)were protective factors for lower respiratory tract infection(P<0.05).Conclusion There were many and complicated risk factors for lower respiratory tract infection in patients with artificial airway intervention after cerebral hemorrhage.Medical staff need to analyze the patient’s condition reasonably and implement effective methods in time to reduce the infection rate.