ICU气管切开患者发生下呼吸道感染的临床情况及危险因素分析与预防探讨

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摘 要 目的：研究重症监护室（ICU）气管切开患者发生下呼吸道感染的临床情况及危险因素分析与预防对策。方法：选择198例气管切开患者，根据是否发生下呼吸道感染将其分为观察组（n=77）和对照组（n=121）。对比两组临床特征，并进行多因素logistic回归分析。结果：年龄、肺气肿、呼吸衰竭、入住ICU时间、使用呼吸机时间、使用抗菌药物种类、抗菌药物使用时间、气道开放时间、侵入性操作及多人ICU均与ICU气管切开患者发生下呼吸道感染有关（P

关键词 重症加强治疗病房 临床情况 气管切开 下呼吸道感染 预防对策 危险因素

中图分类号：R181.32； R183.3 文献标志码：C 文章编号：1006-1533（2022）05-0054-04

引用本文 王艳纷， 唐苏予. ICU气管切开患者发生下呼吸道感染的临床情况及危险因素分析与预防探讨[J]. 上海医药， 2022， 43（5）： 54-57.

Risk factors and prevention of lower respiratory tract infection in ICU patients with tracheotomy

WANG Yanfen， TANG Suyu

（Comprehensive Intensive Care Unit， the Seventh People’s Hospital of Zhengzhou， Zhengzhou 450000， China）

ABSTRACT Objective： To study the risk factors and preventive measures of lower respiratory tract infection in patients with tracheotomy in intensive care unit （ICU）. Methods： One hundred and ninety-eight patients with tracheotomy were selected and divided into an observation group （n=77） and a control group （n=121） according to whether the lower respiratory tract infection occurred. The clinical characteristics were compared between the two groups and multivariate logistic regression analysis was performed. Results： The factors such as age， emphysema， respiratory failure， time for stay in ICU， duration of the use of ventilator and antibiotics， type of antibiotics used， airway opening time， invasive operation and multiple patients admitted at the ICU were all associated with the lower respiratory tract infection （P

KEy WORDS intensive care unit； clinical condition； tracheotomy； lower respiratory tract infection； preventive countermeasures； risk factors

重症监护室（intensive care unit， ICU）是危重患者治疗与护理的重要场所，患者大多病情危重，生命安全随时受到威胁[1]。（剩余4171字）