在手术患者中非通风性医院肺炎的风险因素:一项病例控制研究
Barbara Faustino Rodrigues1, Poliana Morais Rodrigues Constantino2, Isa Rodrigues DA Silveira Cabral DE Menezes3
1Resident in Adult and Elderly Health, Escola de Enfermagem, Universidade de São Paulo, São Paulo, Brazil.
吐是术后患者非通风性医院获得性肺炎 (NVHAP) 的重要危险因素. 管理恶心和吐可能会降低吸入风险并预防NVHAP.
科学领域:
- 与医疗保健相关的感染
- 手术患者护理手术患者护理
- 肺部医学 肺部医学
背景情况:
- 医院获得的肺炎 (HAP) 是全球流行的一种与医疗保健相关的感染.
- 在术后患者中,非通风性HAP (NVHAP) 需要了解特定的风险因素才能有效预防.
研究的目的:
- 在术后患者中确定NVHAP的独立风险因素.
- 为NVHAP制定有针对性的预防策略.
主要方法:
- 在一所大学医院的外科病房进行了回顾性病例控制研究 (2022年4月至2023年4月).
- 包括NVHAP患者 (≥18岁) 和匹配的对照 (2:1比率).
- 收集和分析人口统计,手术和临床数据.
主要成果:
- 从1739名患者中确定了10例NVHAP病例,其中30名参与者 (平均年龄63.27岁).
- 探索性腹腔切除术是最常见的手术.
- 多变量分析显示吐是NVHAP的唯一独立风险因素 (p < 0.001).
结论:
- 吐与术后患者的NVHAP发展有显著的关联.
- 管理恶心和吐可以减轻支气管肺吸气风险.
- 早期恶心和吐检测和控制的协议可以减少NVHAP的发生率.
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