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脑出血术后患者多重耐药现状及影响因素分析

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目的 探讨脑出血术后患者多重耐药发生现状,分析其影响因素。方法 本研究属于观察性研究,选取2018年2月—2023年2月本院神经内科ICU收治的86例脑出血术后患者为研究对象,统计多重耐药发生现状,并分析发生多重耐药的危险因素。结果 一般人口学资料:共有86例脑出血术后患者进入本研究,其中,基底节区出血70例,占比81。40%,丘脑出血14例,占比16。28%,小脑出血破入脑室2例,占比2。32%。年龄40~86岁,平均(53。69±9。23)岁,86例患者中,男性52例,占比60。47%,女性34例,占比39。53%。单因素分析:意识状况、抗菌药物使用种类(个数)、GCS评分、留置鼻胃管是脑出血术后患者发生多重耐药的独立危险因素(P<0。05)。结论 脑出血术后患者多重耐药发生率24。42%,处于较高水平,急需医务人员及时进行干预。临床工作人员可针对此类高危人群杜绝抗菌药物滥用,并有针对性地提前进行预防管理,以降低脑出血术后患者多重耐药发生率。
Current Status and Influencing Factors Analysis of Multiple Drug Resistance of Postoperative Patients With Cerebral Hemorrhage
Objective To explore current status of multi drug resistance of postoperative patients with cerebral hemorrhage and analyze its influencing factors.Methods The paper chose 86 postoperative patients with cerebral hemorrhage admitted to ICU of neurology department of our hospital from February 2018 to February 2023 as research subjects for observational study,analyzed current status of multi drug resistance statistically,and risk factors for developing multi drug resistance.Results There were 70 cases of basal ganglia hemorrhage,accounting for 81.40%,14 cases of thalamic hemorrhage,accounting for 16.28%,and 2 cases of cerebellar hemorrhage breaking into ventricle,accounting for 2.32%among 86 postoperative patients with cerebral hemorrhage,with age range from 40 to 86,with an average of(53.69±9.23).There were 52 males,accounting for 60.47%,and 34 females,accounting for 39.53%.General information and univariate analysis was as follows:consciousness status,type(number)of antibacterial drug use,GCS scores,and indwelling nasogastric tube were independent risk factors for multi drug resistance of postoperative patients with cerebral hemorrhage(P<0.05).Conclusion Incidence of multiple drug resistance of postoperative patients with cerebral hemorrhage is as high as 24.42%,it is urgent for medical personnel to intervene in a timely manner.Clinical staff should eliminate abuse of antibiotics for the high-risk people,carry out targeted prevention and management in advance to reduce incidence of multiple drug resistance of postoperative patients with cerebral hemorrhage.

Postoperative cerebral hemorrhageMultiple drug resistanceInfluencing factorsNursing

包茜、袁程程

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徐州医科大学附属医院 神内ICU,江苏 徐州 221000

脑出血术后 多重耐药 影响因素 护理

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(3)
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