期刊导航

论文摘要

小年龄唇腭裂住院患儿术前发生呼吸道感染的高危因素分析与预防策略

The risk factors and preventive measures of hospital infections on preoperative children with cleft lips and palates

作者:陈丽先,张晓雪,龚彩霞

Author:Lixian Chen,Xiaoxue Zhang,Caixia Gong

收稿日期:2018-04-07          年卷(期)页码:2019,37(3):290-290-294

期刊名称:华西口腔医学杂志

Journal Name:West China Journal of Stomatology

关键字:唇腭裂,术前,呼吸道感染,危险因素,

Key words:cleft lip and palate,preoperative,respiratory infection,risk factor,

基金项目:卫生部口腔颌面外科国家临床重点建设专科基金(2011)

中文摘要

目的 分析唇腭裂住院患儿术前发生呼吸道感染的危险因素,探讨预防呼吸道感染的措施,提高唇腭裂住院患儿的治疗质量。方法 选取2017年6—12月四川大学华西口腔医院唇腭裂外科收治的年龄≤3岁的先天性唇腭裂住院患儿510例。其中,入院后术前发生医院感染的呼吸道感染患儿50例,为观察组;入院后术前未发生呼吸道感染的460例患儿,为对照组;采用t检验及多因素logistic分析,分析唇腭裂住院患儿发生呼吸道感染的相关危险因素,探讨预防控制唇腭裂患儿入院后术前发生呼吸道感染的对策及措施。结果 2组患儿在喂养方式、住院期间陪伴人员有无感染以及夜间有无开窗通风方面有差异,其中喂养方式及住院期间陪伴人员有无感染是年龄≤3岁的唇腭裂住院患儿入院后术前发生呼吸道感染的独立风险因素。结论 年龄≤3岁唇腭裂住院患儿术前发生呼吸道感染的危险因素包括喂养方式、住院期间陪伴人员有感染以及夜间未开窗通风,尤其前两者是重要的影响因素。医护人员应加强相应的健康教育与护理措施进行控制。

英文摘要

ObjectiveTo analyze the risk factors of preoperative upper respiratory infections in children with cleft lips and palate (CLP) and investigate preventive measures to reduce infections and improve the quality of treatments.MethodsA total of 510 children with CLP of ages 3 years old or younger were selected from hospital cases from June to December 2017. The test group comprised 50 children with upper respiratory infections, whereas the control group comprised 460 children without upper respiratory infections. At-test and a multivariate logistic analysis were utilized to analyze the risk factors and to investigate the preventive measures.ResultsFeeding patterns, the presence of infected companions during hospitalization, and ventilation at night were statistically significant. The feeding patterns and the presence of infected companions during hospitalization were independent risk factors for upper respiratory infections in children with CLP.ConclusionBottle feeding, infected companions during hospitalization, and the absence of window ventilation at night are risk factors for preoperative upper respiratory infections in children 3 years old or younger with CLP. Among the risk factors identified, feeding patterns and the presence of infected companion during hospitalization were the most influential. Medical staff members should strengthen corresponding health education and nursing measures to control the risk factors.

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