老年髋部骨折患者术后并发肺部感染的危险因素研究进展
| 作者: |
1陈旭娟,
1尹小兵,
1仇荣敏,
1周雨诗,
2李孝红,
2敖莉,
1朱晓萍
1 同济大学附属第十人民医院护理部，上海 200072 2 同济大学医学院护理系，上海 200092 |
| 通讯: |
朱晓萍
Email: juliya1107@163.com |
| DOI: | 10.3978/j.issn.2095-6959.2020.07.039 |
| 基金: | 上海市崇明区 “可持续发展科技创新行动计划”项目(CKY2019-17)。 |
摘要
肺部感染是老年髋部骨折患者术后常见的并发症，其发生会严重影响患者的生存质量，延长住院时间，延缓康复进程。此外，肺部感染的发生还会显著增加患者死亡的风险。老年髋部骨折患者术后肺部感染的发生率为4%~13%，30 d内致死率约为14%。革兰氏阴性菌是主要的病原菌，以肺炎克雷伯菌最为常见。从患者的年龄、性别、营养状况等自身因素及手术时间、麻醉方式等手术相关因素两个方面对老年髋部骨折患者术后肺部感染的危险因素展开分析，旨在为临床预防老年髋部骨折术后肺部感染及护理此类患者提供依据。
关键词：
肺部感染；老年髋部骨折；发生率；致死率；危险因素
Research progress on the risk factors of pulmonary infection in elderly patients with hip fracture after surgery
CorrespondingAuthor: ZHU Xiaoping Email: juliya1107@163.com
DOI: 10.3978/j.issn.2095-6959.2020.07.039
Foundation: This work was supported by the Project of “Sustainable Development Science and Technology Innovation Action Plan” in Chongming District, Shanghai, China (CKY2019-17).
Abstract
Pulmonary infection is a common complication of postoperative hip fracture in elderly patients, which can seriously affect the patient’s quality of life and prolong hospitalization and recovery process. Besides, the risk of death could increase dramatically because of the occurrence of pulmonary infection. The incidence of postoperative pulmonary infection in elderly patients with hip fracture is 4%–13%, and the mortality rate within 30 days is about 14%. Gram-negative bacteria are the main pathogens, klebsiella pneumoniae is the most common. The risk factors of postoperative pulmonary infection in elderly patients with hip fracture were analyzed from two aspects: the patient's age, gender, nutritional status, as well as the operative time, anesthesia method and other operative related factors, in order to provide a basis for the clinical prevention of postoperative pulmonary infection in elderly patients with hip fracture and the nursing care of such patients.
Keywords：
pulmonary infection; hip fractures in elderly; incidence; fatality rate; risk factors