痰培养鲍曼不动杆菌预测呼吸机相关性肺炎的可行性分析

摘要

目的 探讨痰培养鲍曼不动杆菌对呼吸机相关性肺炎的预测可行性,为临床应用提供依据.方法 选择在我院住院行呼吸机治疗的80例患者为研究对象,收集患者姓名、性别、年龄、出生地、病区、职业、入院时间、出院时间、既往病史、抗生素使用情况、腹腔引流情况、机械通气情况等资料,以及患者痰样品鉴定细菌中是否存在鲍曼不动杆菌.并采用完全随机化方法将患者分为观察组和对照组各40例,对其临床资料进行分析对比.结果 观察组及对照组呼吸机相关性肺炎与患者机械通气方式、抗生素联用、入院时间、住院史、腹腔引流管间差异有统计学意义(P＜0.05);观察组与对照组患者鲍曼不动杆菌阳性检测率差异存在统计学意义(P＜0.05);鲍曼不动杆菌与呼吸机相关性肺炎亦存在统计学意义(P＜0.05).结论 临床中对痰培养样本进行鲍曼不动杆菌检测,可有效预测呼吸机相关性肺炎,具有较高的临床应用价值.%Objective To explore the feasibility of the application of sputum culture in the prediction of the venti lator associated pneumonia in Bauman,and provide the basis for clinical application.Methods The clinical data of 80 patients treated with ventilator were retrospectively analyzed.The data including gender,name,occupation,age,place of birth,ward,hospitalization time,discharge time,past history,the use of antibiotics,mechanical ventilation,abdominal drainage and other information were collected.The bacteria in sputum samples cultured with Bauman Acinetobacter.40 cases were randomly divided into observation group and control group.Results The mechanical ventilation,combined with antibiotics,hospitalization time,hospitalization history,abdominal drainage of observation group and the control group were different (P＜0.05).The positive rate of Bauman Acinetobacter of observation group and the control group were different (P＜0.05).Conclusions The sputum culture samples detected Acinetobacter bacilli can effectively predict the ventilator associated pneumonia and has high clinical application value.