神经内科医院获得性肺炎临床研究

摘要

Objective:To investigate the clinical feature and control methods. Method:128 patients with HAP adopted by our hospital during Sep.2011 and Oct. 2013 were selected as research objectives. Clinical data including the incidence and mortality rate of HAP,risk factors,isolated bacteria and antimicrobial susceptibility were collected and analyzed. Result:Underlying factors,unhealthy lifestyle,iatrogenic infection factors were the main risk factors causing neurology HAP. A total of 304 strains of bacteria were isolated,the most common pathogens being Pseudomonas aeruginosa(96 strains),acinetobacterbaumanii(62 strains). And these bacteria were sensitive to imipenem. Conclusion:The infection rate of HAP is high and risk factors are complicated. In order to control HAP efficiently and improve patients’quality of survival,we should always be alert to the possibility of HAP, enhance disinfection management and strengthen body nutrition for patients.%目的：探讨神经内科医院获得性肺炎临床特征以及防治方法。方法：选取2011年9月-2013年10月本院神经内科收治的239例患者的临床资料，选取其中128例感染医院获得性肺炎患者作为研究对象，统计HAP的发生率、死亡率，分析感染HAP的危险因素及病原菌种类，探讨常见病原菌的耐药性。结果：引发神经内科医院获得性肺炎的高危因素主要有糖尿病、高血压等基础疾病，患者不良的生活习惯及医源性感染因素。HAP感染菌种以革兰阴性菌为主，铜绿假单胞菌以及鲍曼氏不动杆菌最为常见，并对亚胺培南具有较高敏感性。结论：HAP的感染率较高，引发因素众多，因此需随时警惕发生HAP的可能性，加强消毒灭菌管理，对患者加强全身营养支持，才能有效防治HAP，提高患者生存质量。