摘要
目的了解全麻气管插管术后获得性肺炎发生情况,采取预防控制措施,降低医源性肺炎发生率。方法对2010年7月-2012年7月全麻气管插管术后肺部感染616份病历进行回顾性调查,按设计的调查表格进行登记。结果调查全麻气管插管患者616例,发生获得性肺炎152例,发生率24.68%;插管时间<24h者获得性肺炎的发生率为6.44%,>24h者发生率为42.09%;痰病原菌培养出革兰阴性菌98株占71.01%,革兰阳性菌26株占18.84%,真菌14株占10.15%,差异有统计学意义(P<0.01)。结论插管时间越长、感染率越高,机械通气是造成感染的重要危险因素;缩短插管时间、减少机械通气、严格消毒灭菌隔离管理,是控制感染的重要措施。
OBJECTIVE To investigate the risk factors of acquired pneumonia in patients with tracheal intubation, provide prevention measures and reduce the incidence of acquired pneumonia. METHODS Totally 616 endotracheal intubation patients with lung infections from Jul 20t0 to Jul 2012 were investigated retrospectively. RESULTS Among 616 tracheal intubation patients, 152 cases were infected （24.68%）. The lung infection rates in patients with different intubation time were 6. 44% （~24 h） and 42.09% （~24 h） respectively. Sputum culture： 98 strains of gram-negative bacteria （71.01%）, 26 strains of gram-positive bacteria （18. 84~）, 14 strains of fungi （10.15 %）, the difference was statistically significant （P^0.01）. CONCLUSION The infection rate increases with longer intubation time. Mechanical ventilation is an important risk factor of lung infections. The measures to control infections should be taken, including shortening intubation hours, reducing mechanical ventilation and strict sterilization and isolation.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2013年第19期4674-4675,4685,共3页
Chinese Journal of Nosocomiology
基金
黑龙江省卫生厅科研基金(2011-687)
关键词
全麻气管插管
获得性肺炎
危险因素
控制措施
Tracheal intubation under general anesthesia
Acquired pneumonia
Risk factor
Prevention measure
