摘要
目的探讨呼吸道感染与麻醉相关的影响因素及有效的预防措施,为临床手术和治疗提供借鉴。方法对2009年1月-2011年12月在医院全身麻醉施行手术后出现呼吸道感染80例进行回顾性分析,采用多元线形回归方程对各因素进行分析。结果影响麻醉后呼吸道感染的主要因素是年龄、麻醉方式、手术种类;>60岁的老年患者36例,占45.0%,高于其他年龄段的患者;在麻醉方式的选择中,全身麻醉、神经阻滞椎管内麻醉、局部浸润麻醉分别为44、20、16例,各占55.0%、25.0%、20.0%;神经系统疾病和胸部、心血管系统疾病分别为40、20例,各占总疾病的50.0%和25.0%。结论应加强对麻醉术后呼吸道感染的预防,针对其主要影响因素采取相应的对策,降低术后患者呼吸道感染发生率。
OBJECTIVE To explore the related factors of the anesthesia-associated respiratory tract infections and the effective prevention measures so as to guide the clinical surgery and treatment. METHODS A total of 80 cases of patients with respiratory tract infections after undergoing the systemic anesthesia in the hospital from Jan 2009 to Dec 2011 were retrospectively analyzed, and the various factors were analyzed by using multiple linear regression equation. RESULTS The main factors that affected the respiratory tract infections after the anesthesia included the age, anesthesia approaches, and surgery types. There were 36 （45.0%）patients with more than 60 years of age, higher than that of other age groups of patients; there were 44 （55.0 %） cases of patients who chose the general anesthesia, 20 （25.0%） cases who chose nerve block spinal anesthesia , and 16 （20.0%） cases who chose the local anesthesia; there were 40 （50.0 %） cases of patients with nervous system diseases and 20 （25.0 %） cases with chest cardiovascular system diseases. CONCLUSION It is necessary to strengthen the prevention of respiratory tract infections after anesthesia and take corresponding countermeasures for the major influencing factors so as to reduce the incidence of respiratory tract infections.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2013年第10期2340-2342,共3页
Chinese Journal of Nosocomiology
关键词
呼吸道感染
全身麻醉
分析
预防
Respiratory tract infection
General anesthesias Anaiysis
Prevention
