| 熊丽,张连红,孙婷.儿科重症监护室早产儿肺部感染危险因素分析与防治对策[J].安徽医药,2017,21(7):1266-1269. |
| 儿科重症监护室早产儿肺部感染危险因素分析与防治对策 |
| Risk factors of pulmonary infection in premature infants in pediatric intensive care unit and countermeasures |
| 投稿时间：2016-09-19 |
| DOI： |
| 中文关键词: 儿科重症监护室 早产儿肺部感染 危险因素 防治对策 |
| 英文关键词: PICU Pulmonary infection in preterm infants Risk factors Countermeasures |
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| 中文摘要: |
| 目的 分析儿科重症监护室(PICU)早产儿肺部感染的危险因素,并提出针对性的防治对策。 方法 回顾性分析肺部感染早产患儿158例和未发生肺部感染早产儿139例,先对纳入的所有危险因素进行单因素分析筛选出有统计学意义的变量,再使用逐步Logistic 回归分析确定独立危险因素,并实施针对性护理措施。 结果 单因素分析显示,胎龄、出生时体质量、1 min Agar评分及是否患基础疾病、昏迷、雾化吸入、插管方式、上机前48 h 使用抗生素、无创正压通气、痰培养细菌阳性、PICU住院时间、机械通气时间、无创正压通气时间、静脉营养及吸氧时间等15项因素差异有统计学意义(P<0.05);多元回归分析只有出生体质量、机械通气时间和昏迷是PICU内肺部感染的主要危险因素,OR值分别为3.851、2.048和6.357。 结论 通过对早产儿肺部感染患儿危险因素研究分析,制定出科学的护理对策,可有效降低PICU内早产儿罹患肺部感染的风险。 |
| 英文摘要: |
| Objective Toexplore the risk factors of pulmonary infection of premature infants and to develop targeted countermeasures in pediatric intensive care unit (PICU). Methods A retrospective analysis was conducted with clinical data of 158 premature infants with pulmonary infection and 139 ones without pulmonary infection.Risk factors with statistical significance were first screened with univariate analysis,and independent risk factors for pulmonary infection wereidentified with stepwise logistic regression analysis in premature infants,then appropriate nursing interventions based on independent risk factors wereperformed. Results Univariate analysis showed that gestational age,body weight,1 min Agar score,basic diseases,coma,inhalation,intubation,antibiotics,noninvasive positive pressure ventilation,positive sputum culture of bacteria in PICU,the time of hospitalization,mechanical ventilation,noninvasive positive pressure ventilation time,intravenous nutrition and oxygen inhalation were significant factors affecting pulmonary infection(P<0.05)；multiple regression analysis showed that only birth weight (OR=3.851),duration of mechanical ventilation (OR=2.048) and coma(OR=6.357) entered into regression equation and were the main risk factors for pulmonary infection in premature infants. Conclusions Analysis of the risk factors of pulmonary infectionwas helpful to effectively reduce the risk in premature infants in PICU. |
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