Risk factors analysis and nursing strategies of bronchiectasis secondary pulmonary fungal infection
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摘要: 目的 探讨支气管扩张继发肺部真菌感染的危险因素及护理对策。 方法 选择衢州市人民医院2016年3月—2018年4月间收治的74例支气管扩张继发肺部真菌感染的患者为真菌感染组,118例支气管扩张非合并肺部真菌感染的患者为非真菌感染组。对2组年龄、性别、合并肺部基础疾病、住院时间长、合并糖尿病、低蛋白血症、呼吸衰竭、抗菌药物使用时间、长期使用糖皮质激素等情况进行统计,并采用单因素和多因素分析确定支气管扩张合并肺部真菌感染患者的危险因素。 结果 单因素结果显示:年龄、合并肺部基础疾病、住院时间长、合并糖尿病、低蛋白血症、抗菌药物使用时间、呼吸衰竭、长期使用糖皮质激素是支气管扩张患者发生肺部真菌感染的单因素危险因素,多因素Logistic回归分析结果显示:年龄、合并肺部基础疾病、住院时间长、合并糖尿病、低蛋白血症、抗菌药物使用时间、呼吸衰竭、长期使用糖皮质激素是支气管扩张患者发生肺部真菌感染的独立危险因素。 结论 年龄、合并肺部基础疾病、住院时间长、合并糖尿病、低蛋白血症、抗菌药物使用时间、呼吸衰竭、长期使用糖皮质激素是支气管扩张合并肺部真菌感染患者的危险因素,临床中要重视危险因素,做好治疗和护理,预防真菌感染的发生。Abstract: Objective To investigate the risk factors and nursing strategies of bronchiectasis secondary pulmonary fungal infection. Methods A total of 74 patients with bronchodilator secondary pulmonary fungal infection in our hospital from March 2016 to April 2018 were selected as fungal infection group, and 118 patients with bronchiectasis non-common pulmonary fungal infection were selected as non-fungal infections group. The age, sex, combined basic lung disease, hospital time, diabetes, hypoproteinemia, respiratory failure, antibiotic using time, long-term use of glucocorticoids of two groups were accounted, and univariate and logistic regression analysis were used to investigate the risk factors. Results Univariate results showed that age, combined pulmonary basic disease, hospital time, diabetes, hypoproteinemia, antibiotic using time, respiratory failure, long-term use of glucocorticoids were the risk factors of patients with bronchiectasis secondary pulmonary fungal infection, and logistic regression analysis showed that age, combined pulmonary basic disease, hospital time, diabetes, hypoproteinemia, antibiotic using time, respiratory failure, long-term use of glucocorticoids were the risk factors of patients with bronchiectasis secondary pulmonary fungal infection. Conclusion Age, combined pulmonary basic disease, hospital time, diabetes, hypoproteinemia, antibiotic using time, respiratory failure, longterm use of glucocorticoids were the risk factors of patients with bronchiectasis secondary pulmonary fungal infection. So risk factors should receive attention, and treatment and nursing should be carried out to prevent fungal infections.
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Key words:
- Bronchiectasis /
- Pulmonary fungal infection /
- Risk factors /
- Nursing strategies
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