脑出血患者气管切开后肺部感染情况及影响因素分析

doi:10.20047/j.issn1673-7210.2023.05.18

Abstract
Figure/Table
References (26)
Related Citation (15)

Download: PDF (552 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To investigate the influencing factors of pulmonary infection in patients with cerebral hemorrhage after tracheotomy. Methods A total of 146 patients with cerebral hemorrhage admitted to the First Hospital of Handan City, Hebei Province from April 2020 to March 2022 were selected, all of whom underwent hematoma removal under general anesthesia. According to the condition of lung infection, the patients were divided into infected group and non-infected group, and the clinical characteristics of the two groups were compared to determine the influencing factors of lung infection. Results The pulmonary infection rate of 146 patients with cerebral hemorrhage was 21.92% (32/146). There were statistically significant differences in smoking history, malnutrition, chronic obstructive pulmonary disease, bleeding site, preoperative Glasgow coma scale score, tracheotomy time, and indwelling gastric tube ratio between the two groups (P＜0.05). Logistic regression results showed that malnutrition, bleeding site, preoperative Glasgow coma score, tracheotomy time, and indwelling gastric tube were risk factors for pulmonary infection (OR＞1, P＜0.05). Conclusion Patients with cerebral hemorrhage tracheotomy should strengthen nutrition, shorten the time of tracheotomy, strengthen the intervention of indwelling gastric tube and so on, and actively prevent and treat pulmonary infection.

Key words： Intracerebral hemorrhage Tracheostomy Pulmonary infection Influencing factors

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	WANG Min ZHANG Xiumei QIN Lihui LI Jing YANG Li

Cite this article:

WANG Min ZHANG Xiumei QIN Lihui LI Jing YANG Li. Analysis of pulmonary infection and its influencing factors in patients with cerebral hemorrhage after tracheotomy[J]. 中国医药导报, 2023, 20(5): 79-81,89.

URL:

https://www.yiyaodaobao.com.cn/EN/10.20047/j.issn1673-7210.2023.05.18 OR https://www.yiyaodaobao.com.cn/EN/Y2023/V20/I5/79

[1] 孙文慧，李建彬，冯石献，等.2014-2017年郑州市居民脑卒中流行病学特征分析[J].广东医学，2019，40（11）：1584- 1588.
[2] 郑琰，卓凌云，林鹤，等.幕上自发性脑出血并发医院获得性肺部感染的独立危险因素分析[J].福建医科大学学报，2021，55（6）：476-482.
[3] 刘富林.高血压性脑出血合并肺部感染患者炎症因子变化及意义[J].中国药物与临床，2020，20（10）：1668-1670.
[4] 范纹秀，王羡科，李炳，等.高血压脑出血合并肺部感染危险因素及和肽素诊断价值[J].中华医院感染学杂志，2021，31（6）：832-836.
[5] 汪旭亮.动脉瘤性蛛网膜下腔出血患者发生医院肺部感染的病原菌特点及预后不良的影响因素[J].中国卫生检验杂志，2020，30（9）：1131-1133.
[6] 中华医学会神经病学分会，中华医学会神经病学分会脑血管病学组.中国脑出血诊治指南（2019）[J].中华神经科杂志，2019，52（12）：994-1005.
[7] 徐挺，陈建良，董子龙.神经重症患者肺部感染的危险因素分析[J].中华神经医学杂志，2020，19（1）：54-58.
[8] 许静涌，蒋朱明.2015年ESPEN营养不良（不足）诊断共识、营养风险及误区[J].中华临床营养杂志，2016，24（5）：261-265.
[9] 宋甜田，杜金阁，孟葳，等.GCS评分对脑卒中手术患者医院感染的预测效果[J].中国感染控制杂志，2019，18（6）：561-565.
[10] 徐挺，陈建良，董子龙.神经重症患者肺部感染的危险因素分析[J].中华神经医学杂志，2020，19（1）：54-58.
[11] Choy KW，Tsai AP，Lin PB，et al. The Role of Urocortins in Intracerebral Hemorrhage [J]. Biomolecules，2020，10（1）：96-99.
[12] Kase CS，Hanley DF. Intracerebral Hemorrhage：Advances in Emergency Care [J]. Neurol Clin，2021，39（2）：405-418.
[13] 吴晓婷，宋丹丹.脑出血昏迷患者急诊护理干预研究[J].中国医药科学，2021，11（5）：136-138.
[14] Nishimura A，Yamaguchi H，Ito Y，et al. Empyema necessitatis due to Pseudomonas aeruginosa in a child with cerebral palsy [J]. J Infect Public Health，2020，13（1）：140- 142.
[15] De Oliveira Manoel AL. Surgery for spontaneous intracerebral hemorrhage [J]. Crit Care，2020，24（1）：45-47.
[16] Jain A，Malhotra A，Payabvash S. Imaging of Spontaneous Intracerebral Hemorrhage [J]. Neuroimaging Clin N Am，2021，31（2）：193-203.
[17] Hiramatsu M，Haruma J，Hishikawa T，et al. Intracerebral Hemorrhage [J]. No Shinkei Geka，2021，49（2）：284-292.
[18] Kirshner H，Schrag M. Management of Intracerebral Hemorrhage：Update and Future Therapies [J]. Curr Neurol Neurosci Rep，2021，21（10）：57-59.
[19] Kearns KN，Ironside N，Park MS，et al. Neuroprotective Therapies for Spontaneous Intracerebral Hemorrhage [J]. Neurocrit Care，2021，35（3）：862-886.
[20] 麻丹丹.全面护理对蛛网膜下腔出血与脑出血患者生活质量、护理满意度的影响[J].中国医药科学，2021，11（10）：127-129，137.
[21] Ekkert A，?譒liachtenko A，Utkus A，et al. Intracerebral Hemorrhage Genetics [J]. Genes （Basel），2022，13（7）：1250- 1253.
[22] Gómez-González A，Lazcano U，Vivanco-Hidalgo RM，et al. Defining Minor Intracerebral Hemorrhage [J]. Cerebrovasc Dis，2021，50（4）：435-442.
[23] Derex L，Rheims S，Peter-Derex L. Seizures and epilepsy after intracerebral hemorrhage：an update [J]. J Neurol，2021，268（7）：2605-2615.
[24] Hawkes MA，Rabinstein AA. Acute Hypertensive Response in Patients With Acute Intracerebral Hemorrhage：A Narrative Review [J]. Neurology，2021，97（7）：316-329.
[25] Selim M，Norton C. Perihematomal edema：Implications for intracerebral hemorrhage research and therapeutic advances [J]. J Neurosci Res，2020，98（1）：212-218.
[26] Lun R，Yogendrakumar V，Walker G，et al. Revised intracerebral hemorrhage expansion definitions：Relationship with care limitations [J]. Int J Stroke，2021，16（6）：640-647.