神经外科患者合并肺部感染临床特征分析

摘要

目的：探讨神经外科患者肺部感染临床特征及预防措施。方法：回顾性分析520例神经外科患者的临床资料,观察肺部感染发生率,痰培养结果、引起肺部感染的相关因素及对预后的影响。结果：520例患者合并肺部感染共60例；痰培养阳性共50例(革兰阴性杆菌26例、革兰阳性球菌15株、真菌9例)。肺部感染组患者年龄平均(60.56±12.40)岁、合并意识障碍38.33%、预防使用抗菌素66.67%、实施侵入性操作56.67%高于无肺部感染组的(44.23±15.80)岁、35.00%、35.00%、25.00%；白蛋白水平平均(32.87±2.98)g/L低于无肺部感染组的(35.97±2.44)g/L (P<0.05),是引起肺部感染相关因素。肺部感染患者住院时间平均(33.28±7.34)天,死亡率20.00%均高于同期无肺部感染患者(18.27±6.34)天,5.00%(P<0.05)。结论：神经外科患者合并肺部感染发生率高,其影响因素复杂,可延长住院时间及增加死亡率,应实施针对性预防措施减低肺部感染的发生。%Objective:To investigate the clinical characteristics and preventive measures of pulmonary infection in patients of Department of neurosurgery. Methods:Retrospective analysis of the clinical data of 520 cases of patients in the Department of Neurosurgery, observe the incidence of pulmonary infection, sputum culture results, factors causing pulmonary infection and its effect on prognosis. Results:60 cases were complicated with pulmonary infection; Sputum culture was positive 50 cases(9 cases of gram-negative bacilli 26 cases, Gram-positive bacteria15 cases, fungi 9strains). The age of lung infection (60.56±12.40) years, disturbance consciousness 38.33%, use of antibiotics prevention 66.67%, invasive operation 56.67%higher than those without pulmonary infection group,(44.23±15.80) years, 35%, 35%, 25%;albumin (32.87±2.98) g/L lower no lung infection group (35.97±2.44) g/L (P<0.05), is the factors causing pulmonary infection. pulmonary infection patients In hospitalized (33.28±7.34) days, mortality rate was 20%higher than the same period without pulmonary infection patients (18.27±6.34) days, 5.00%(P<0.05).Conclusion:The high rate of pulmonary infection in patients in the Department of Neurosurgery, the influence factors are complicated, prolonged hospitalization increased mortality, should implement the preventive measures to reduce the incidence of pulmonary infection.