摘要
目的分析神经外科重症监护病房(NICU)各种侵入性操作与医院获得性肺炎(HAP)发生的关系。方法对2007年3月-2009年3月NICU 721例患者的临床资料进行回顾性分析,主要统计分析气管插管、气管切开、留置胃管、深静脉插管与HAP间关系。结果发生HAP 189例,感染率26.21%,HAP发生的相关侵入性操作主要是气管插管、气管切开、留置胃管、深静脉插管。结论针对各种侵入性危险因素,尽量缩短气管插管的时间和避免反复插管,尽量减少各种侵入性操作,尽早去除各种留置管道,加强病房消毒管理,严格执行消毒和隔离制度。
OBJECTIVE To find out whether the various invasive operations are the risk factors of hospital-acquired pneumonia（HAP） or not in neurological intensive care unit（NICU）,and to determine the relationship between various invasive operations and HAP.METHODS In order to know the risk factors of HAP,the clinical materials of 721 patients in NICU from Mar 2007 to Mar 2009 were collected.By way of statistics and analysis on these materials,the relationship between HAP and the various invasive operations would be determined,including intratracheal intubation（the times and lasting time） and tracheotomy,central venous catheterization and transnasal gastro-intestinal nutrition infusion.RESULTS The 189 of 721 cases suffered from the HAP（26.21%）.The various invasive operations,such as intratracheal intubation and tracheotomy,central venous catheterization and transnasal gastro-intestinal nutrition infusion all increase the incidence of HAP.CONCLUSIONS As the various invasive operations can increased the incidence of HAP,these factors should be kept away from if possible.When it is necessary,the lasting time of the intratracheal intubation,transnasal gastro-intestinal infusion and central venous catheterization should be decreased.Furthermore,improving the environment of NICU and enforcing aseptic and sterilizing system are also important.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2010年第14期2036-2038,共3页
Chinese Journal of Nosocomiology
关键词
侵入性操作
医院获得性肺炎
结果分析
Invasive operations
Hospital-acquired pneumonia（HAP）
Risk outcome analysis
