【摘要】 目的探讨减少急性高血压脑出血患者血肿清除术后发生院内肺部感染发生的护理对策。方法回顾性分析112例患者急性高血压脑出血血肿清除术后的资料,按是否并发肺部感染分为A组(肺部感染)和B组(未发生肺部感染);分析两组伴有疾病、GCS评分、气管插管时间、细菌培养结果、GOS评估,并作统计学处理等。结果A组中17例伴有慢性疾病史患者皆发生了院内肺部感染;B组未伴有疾病。两组GCS评分、气管插管时间经t检验,差异有统计学意义。病原体以革兰氏阴性菌为主,常见细菌为铜绿假单孢菌和金黄色葡萄球菌。两组预后经Fisher’s Exact Test,差异有统计学意义。结论肺部感染病例预后较差,对急性高血压脑出血血肿清除术后患者,控制医源性感染危险因素、监测病原体、加强呼吸道护理和各项基础护理、合理选用抗生素等可减少院内肺部感染的发生。更多还原

【Abstract】 Objective To investigate the characteristics and nursing of nosocomial pneumonia in patients with acute hypertensive in-tracerebral hemorrhage after evacuation of hematoma.Methods Retrospective analysis was performed on the cases of 112 postoperative pa-tients with acute hypertensive intracerebral hemorrhage in the Department of Neurosurgery.The patients were divided into A group(noso-comial pneumonia group)and B group(without pulmonary infection).Original disease,GCS,GOS,cathetering time,results of bacterial culture were investigated.Results Nosocomial pneumonia presented in 17 patients(in group A).GCS and cathetering time was com-pared by t-test,the difference was significant.The main microorganisms isolated from respiratory secretion were Gram-negative bacteri-a,in which the majority were Pseudomonas aeruginosa and Staphylococcus aureus.There is significant difference between results of two group compared by Fisher’s Exact Test.Conclusions The prognosis of pneumonia patients is poor.To the patients with acute hyperten-sive intracerebral hemorrhage,the presence of nosocomial pneumonia could be reduced by control of risk-factors,surveillance of pathogens,managment of respinatory tract rational use of antibiotics.更多还原