浙江医学2018，Vol.40Issue(16)：1840-1842,1846,4.DOI:10.12056/j.issn.1006-2785.2018.40.16.2017-643
气管切开患者院内获得性肺炎的高危因素分析
Risk factors of hospital- acquired pneumonia in tracheostomy patients
摘要
Abstract
Objective To explore the risk factors of hospital- acquired pneumonia in tracheostomy patients. Methods From January 2011 to November 2016, 188 patients with tracheostomy ≥5 days in Wenzhou People's Hospital were retrospectively reviewed. According to the occurrence of hospital- acquired pneumonia, the patients were divided into infected group(n=48) and non- infected group(n=140). Clinical features were compared between these two groups, including age, gender, disturbance of consciousness, limited mobility, reflux aspiration, diabetes mellitus, organ dysfunction, stroke or traumatic brain injury, immunosuppression, chronic obstructive pulmonary disease ≥10 years, serum albumin, prophylactic antibiotics treatment, application of antacids, indwelling gastric tube, continuous subglottic secretion drainage and mechanical ventilation. Multivariate Logistic regression analysis was employed to assess independent risk factors for the occurrence of hospital- acquired pneumonia. Results There were statistically significant differences between the two groups in disturbance of consciousness, limited mobility, reflux aspiration, organ dysfunction, prophylactic antibiotics, and mechanical ventilation (P＜0.05). Logistic regression analysis showed that reflux aspiration, organ dysfunction, prophylactic antibiotics treatment were independent risk factors for hospital- acquired pneumonia, while mechanical ventilation is a strong protective factor. Conclusion The risk factors of hospital- acquired pneumonia in tracheostomy patients were complex. For high- risk patients, if possible, mechanical ventilation is recommended to reduce the incidence of nosocomial pneumonia.关键词
气管切开/院内获得性肺炎/高危因素Key words
Tracheostomy/Hospital acquired pneumonia/Risk factors引用本文复制引用
徐建国,林乐丹,徐斌,张庆元,张有超..气管切开患者院内获得性肺炎的高危因素分析[J].浙江医学,2018,40(16):1840-1842,1846,4.基金项目
温州市卫生局基金资助项目(2013B12) （2013B12）
