摘要
目的 :探讨导致神经外科疾病患者发生肺部感染的危险因素。方法 :选取2016年1月至2018年4月期间江苏省南通市第六人民医院收治的96例神经外科疾病患者作为研究对象。将48例发生肺部感染的患者作为肺部感染组。将48例未发生肺部感染的患者作为无肺部感染组。回顾性分析两组患者的临床资料。分析导致肺部感染组患者发生肺部感染的危险因素。结果 :肺部感染组患者的年龄大于无肺部感染组患者,其使用激素的时间长于无肺部感染组患者,P <0.05。肺部感染组患者中有吸烟史患者所占的比例、患有慢性阻塞性肺疾病(COPD)患者所占的比例、营养不良患者所占的比例、发生误吸患者所占的比例、使用制酸剂患者所占的比例及预防性使用抗生素患者所占的比例均高于无肺部感染组患者中相应患者所占的比例,P <0.05。结论 :导致神经外科疾病患者发生肺部感染的危险因素有年龄大、使用激素的时间长、有吸烟史、患有COPD、发生营养不良、发生误吸、使用制酸剂及预防性使用抗生素。
objective: to investigate the risk factors of pulmonary infection in patients with neurosurgical diseases. Methods: 96 patients with neurosurgical diseases admitted and treated by the sixth people’s hospital of nantong city, jiangsu province from January 2016 to April 2018 were selected as the research objects. Forty-eight patients with pulmonary infection were included in the pulmonary infection group. Forty-eight patients without pulmonary infection were included in the group without pulmonary infection. The clinical data of the two groups were analyzed retrospectively. To analyze the risk factors of pulmonary infection in patients with pulmonary infection group. Results: the age of patients in the pulmonary infection group was older than that in the non-pulmonary infection group, and the duration of hormone use was longer than that in the non-pulmonary infection group, P < 0.05. Lung infection in the group of patients with a history of smoking the proportion of patients, patients with chronic obstructive pulmonary disease(COPD) the percentage of malnutrition, the proportion of patients, the proportion of patients with aspiration, use the proportion of patients with antacids prophylactic use of antibiotics and the proportion of patients were higher than in patients with pulmonary infection group in the proportion of patients, P < 0.05). Conclusion: the risk factors for pulmonary infection in patients with neurosurgical diseases include older age, longer duration of hormone use, smoking history, COPD, malnutrition, aspiration, acid production agents and prophylactic antibiotics.
作者
陈鹏
Chen peng(department of neurosurgery,the sixth people's hospital of nantong,jiangsu province,nantong 226001)
关键词
神经外科疾病
肺部感染
危险因素
neurosurgical diseases
Pulmonary infection
Risk factors
