摘要
目的探讨喉癌术后下呼吸道感染的危险因素与护理对策。方法选取2017年6月至2019年6月在本院接受手术治疗的喉癌患者104例为研究对象,术后均经病理检测确诊,术后发生下呼吸道感染13例。收集患者手术方式、性别、年龄、留置胃管、颈部清扫、饮酒史、使用呼吸机、吸烟史、应用抗菌药物等临床资料,对相关信息进行统计学处理。结果13例下呼吸道感染患者中共分离出21株菌株,其中革兰阴性菌14株,占比66.67%;革兰阳性菌6株,占比28.57%;真菌1株,占比4.76%。多因素logistic回归分析显示,使用抗菌药物、留置胃管、术后营养支持较差及全喉切除术是喉癌术后下呼吸道感染的独立危险因素(P<0.05)。结论喉癌术后发生下呼吸道感染的影响因素较多,临床应制定针对性护理干预措施,为提早预防提供参考依据,以降低术后感染率,改善预后。
Objective To explore risk factors of lower respiratory tract infection after laryngeal cancer surgery and its nursing countermeasures.Methods To select 104 cases of patients with laryngeal cancer who underwent surgical treatment in our hospital from June 2017 to June 2019 as the study subjects.All patients were diagnosed by pathological examination after surgery and 13 cases of lower respiratory tract infection occurred.The clinical data of surgical methods,gender,age,indwelling gastric tube,neck dissection,drinking history,use of ventilator,smoking history,application of antibacterial drugs were collected,and relevant information was statistically processed.Results There was 21 strains that were isolated from 13 patients with lower respiratory tract infections,of which 14 were Gram-negative bacteria,accounting for 66.67%;6 were Gram-positive bacteria,accounting for 28.57%;and 1 was fungus,accounting for 4.76%.Multivariate logistic regression analysis showed that the use of antibacterial drugs,indwelling gastric tubes,poor postoperative nutritional support,and total laryngectomy were the independent risk factors for lower respiratory tract infections after laryngeal cancer surgery(P<0.05).Conclusion There were many influencing factors of lower respiratory tract infection after laryngeal cancer surgery.The clinical nursing interventions should be formulated to provide a reference for early prevention to reduce the postoperative infection rate and improve the prognosis.
出处
《护理实践与研究》
2020年第5期17-19,共3页
Nursing Practice and Research
关键词
喉癌手术
下呼吸道感染
危险因素
护理对策
Laryngeal cancer surgery
Lower respiratory tract infection
Risk factors
Nursing countermeasures
