NICU重症患者医院获得性肺炎危险因素分析与预防控制措施

目的探讨神经外科重症监护病房(NICU)患者医院获得性肺炎相关因素及预防控制措施。方法采用回顾性调查方法,对NICU 368例医院获得性肺炎患者相关因素进行分析。结果医院NICU重症患者医院获得性肺炎发生率10.33%,其危险因素与患者的年龄、基础疾病、神智状态、住院时间、床单位使用面积、气管切开等侵入性操作有密切关系。结论减少医院获得性肺炎的危险因素是降低医院获得性肺炎发生行之有效的控制措施。

Risk factors for hospital-acquired pneumonia in patients of neurosurgery department and preventive countermeasures

OBJECTIVE To explore the related factors for hospital-acquired pneumonia in neurosurgery intensive care unit(NICU) so as to propose countermeasures for control and prevention.METHODS By the means of retrospective survey,the related factors for hospital-acquired pneumonia in 368 patients in NICU were analyzed.RESULTS The incidence of hospital-acquired pneumonia in NICU was 10.33%;the age of the patient,underlying disease,consciousness,length of hospital stay,the space for each bed,and the invasive operations like tracheotomy were the risk factors which were closely related to hospital-acquired pneumonia.CONCLUSION To reduce the risk factors for hospital-acquired pneumonia is essential and effective to reduce the incidence of hospital-acquired pneumonia.