高血压性脑出血患者并发肺部感染的危险因素及护理对策分析

doi:10.3969/j.issn.1006-5253.2019.01.015

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Abstract  Objective To discuss the risk factors and nursing countermeasures of pulmonary infection in patients with hypertensive cerebral hemorrhage.Methods Totally 250 patients with hypertensive cerebral hemorrhage were selected from June 2016 to June 2018 in our Hospital, and the concurrent pulmonary infection and its risk factors were analyzed.Results In this study, 100 hypertensive cerebral hemorrhage patients were complicated with pulmonary infection, with the incidence 40.00%, and 150 strains of pathogenic bacteria were isolated, including 10 strains of fungi (6.67%), 20 strains of gram-positive bacteria (13.33%) and 120 strains of gram-negative bacteria (80.00%). Tunivariate analysis showed that, age, smoking, diabetes mellitus, pulmonary diseases, dysphagia, Glasgow coma score, bleeding volume, airway incision, nasal feeding and sedative drug use were related to hypertensive cerebral hemorrhage complicated with pulmonary infection (P<0.05). Logistic multivariate analysis showed that, 60 years old and above, smoking, diabetes mellitus, pulmonary diseases, dysphagia, Glasgow coma score below 8, bleeding over 100 ml, airway incision, nasal feeding and sedative drug use were the independent risk factors for hypertensive cerebral hemorrhage complicated with pulmonary infection (P<0.05).Conclusion The risk of hypertensive cerebral hemorrhage complicated with pulmonary infection is high, the gram-negative bacteria are the main pathogens, and the risk factors are many and complex. We should pay attention to the condition monitoring and nursing intervention of patients with 60 years old and above, diabetes mellitus, pulmonary diseases, dysphagia, Glasgow coma score below 8, bleeding over 100 ml, airway incision, nasal feeding and sedative drug.

Key words： hypertensive cerebral hemorrhage pulmonary infection risk factor nursing countermeasure

Received: 30 November 2018

PACS:	R195.4
	R743.34

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	Wang Lijun

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Wang Lijun. Risk factors and nursing countermeasures of pulmonary infection in patients with hypertensive cerebral hemorrhage[J]. journal1, 2019, 26(1): 53-56.

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http://manu58.magtech.com.cn/Jwk_zgyytj/EN/10.3969/j.issn.1006-5253.2019.01.015 OR http://manu58.magtech.com.cn/Jwk_zgyytj/EN/Y2019/V26/I1/53

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