摘要
目的分析沈阳市新生儿医院获得性肺炎的危险因素,并探讨预防对策。方法将2018年1月至2018年12月沈阳市13个县/区上报的174例医院获得性肺炎新生儿纳入感染组,将该市同期300例未发生医院获得性肺炎的新生儿纳入对照组。对比两组新生儿胎龄、性别、出生体重等资料,采用多因素Logistic回归分析探讨沈阳市新生儿发生医院获得性肺炎的危险因素。结果多因素Logistic回归分析显示,胎龄<37周、出生体重<2500 g、住院天数≥14 d、剖宫产、有侵入性操作、非母乳喂养均为沈阳市新生儿发生医院获得性肺炎的独立危险因素(均P<0.05)。结论胎龄、出生体重、住院天数、剖宫产、有侵入性操作、非母乳喂养均与沈阳市新生儿发生医院获得性肺炎有关,应注重危险因素的早期干预和环境因素的管理,降低新生儿医院获得性肺炎发生风险。
Objective To analyze the risk factors of hospital acquired pneumonia of neonates in Shenyang city and explore the preventive measures.Method 174 neonates with hospital acquired pneumonia reported in 13 counties and districts of Shenyang city from January 2018 to December 2018 were included in infection group,and 300 neonates without hospital acquired pneumonia during the same period were selected as control group.By comparing the clinical data of the two groups,such as gestational age,sex,birth weight,etc.,and using Logistic regression analysis,summarized the relevant factors that affect the hospital acquired pneumonia of neonates in Shenyang city.Result Multivariate Logistic regression analysis showed that gestational age<37 weeks,birth weight<2500 g,hospital days≥14 days,cesarean section,invasive operation and non-breast feeding were all the independent risk factors of hospital acquired pneumonia of neonates in Shenyang city.Conclusion Gestational age,birth weight,hospital day,cesarean section,invasive operation,non-breast feeding are all related to hospital acquired pneumonia of neonates in Shenyang city.Early intervention of risk factors and management of environmental factors should be emphasized,reduce the risk of hospital acquired pneumonia of neonates.
作者
杨菘
李欣
姜红
YANG Song;LI Xin;JIANG Hong(the Second Neonatal Ward,Shengjing Hospital of China Medical University,Shenyang 110004,China)
出处
《中国医学前沿杂志（电子版）》
2019年第12期119-122,共4页
Chinese Journal of the Frontiers of Medical Science(Electronic Version)
