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高血压脑出血术后肺部感染的危险因素Meta分析

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目的:分析高血压脑出血术后肺部感染危险因素.方法:检索中国知网、万方、维普、PubMed、EMBASE、Web of Science和Cochrane Library有关危险因素相关研究.检索时限从建库至 2024 年 4 月,筛选符合要求的文献,并进行质量评价和提取相比值比(OR)及95%CI,采用RevMan5.4软件进行Meta分析.结果:有13篇文献符合要求,共计 689 例高血压脑出血患者.通过Meta分析后认为危险因素包括吸烟史、糖尿病、低蛋白血症、机械通气时间、侵入性操作、气管切开、GCS<8、鼻饲;描述性分析结果显示:年龄、GCS 与术后发生肺部感染有关.结论:高血压脑出血肺部感染危险因素较多,尽早识别危险因素,采取相关防治措施,有利于降低肺部感染发病率.
Meta-analysis of risk factors for pulmonary infection after surgery for hypertensive cerebral hemorrhage
Objective:To analyze the risk factors of postoperative pulmonary infection in patients with hypertensive cerebral hemorrhage.Methods:The literatures need to meet the inclusion and exclusion criteria,and are related to risk factors studies,searched among CNKI,Wanfang,CQVIP,PubMed,EMBASE,Web of Science and Cochrane Library,ranging from the establishment of the database to April 2024,and then were evaluated the quality evaluation and extraction of odds ratio(OR)and 95%CI,through RevMan5.4 software.Results:13 articles involving a total of 689 patients with hypertensive cerebral hemorrhagemet met the requirements.Through Meta analyzing,it is found that the risk factors included smoking history,diabetes,hypoproteinemia,mechanical ventilation time,invasive operation,tracheotomy,GCS<8,nasal feeding.The results of descriptive analysis showed that age and GCS were related to postoperative pulmonary infection.Conclusion:There are many risk factors for pulmonary infection in hypertensive cerebral hemorrhage.Identifying risk factors as soon as possible and taking relevant prevention and control measures are conducive to reducing the incidence of pulmonary infection.

nursinghypertensive cerebral hemorrhageMeta-analysislung infectionsrisk factors

齐佳瑞、张雯、刘芳芳

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新疆科技学院,新疆库尔勒 841000

护理学 高血压脑出血 Meta分析 肺部感染 危险因素

2024

中国科技论文在线精品论文
教育部科技发展中心

中国科技论文在线精品论文

ISSN:1674-2850
年,卷(期):2024.17(3)