老年创伤患者术后肺部感染的危险因素分析

发布时间：2018-02-16 01:53

本文关键词： 老年患者创伤肺部感染　出处：《中华医院感染学杂志》2015年21期 　论文类型：期刊论文

【摘要】：目的分析老年创伤患者术后感染的相关危险因素及感染病原菌分布,以降低肺部感染率。方法回顾性分析2011年1月-2013年12月老年创伤手术患者705例临床资料,分析患者的性别、年龄、卧床时间、吸烟、麻醉方式、手术时间、基础疾病数、呼吸道病史、受伤至就诊的时间等各种不同因素与其发生肺部感染的相关性。结果 705例老年创伤手术患者中发生肺部感染68例感染率为9.65%,检出病原菌89株,以铜绿假单胞菌、肺炎克雷伯菌、金黄色葡萄球菌、溶血葡萄球菌感染居多,分别占28.09%、14.61%、24.72%、12.36%;老年创伤手术患者年龄、糖尿病史、住院时间、麻醉方法、手术时间等多种因素与肺部感染相关(P0.05),其中手术时间对发生肺部感染的影响最大(OR值为12.81)。结论老年患者年龄越大、手术时间长、全身麻醉、糖尿病、卧床时间等多种危险因素与肺部感染相关,尽量缩短手术时间、选择合适麻醉方式、加强护理等措施减少肺部感染的发生。
[Abstract]:Objective to analyze the related risk factors of postoperative elderly patients with trauma and infection of pathogenic bacteria, to reduce the incidence of pulmonary infections. Methods a retrospective analysis of the clinical data of 705 cases of January 2011 -2013 year in December the elderly trauma patients, analysis of the patient's gender, age, time in bed, smoking, anesthesia, operative time, number of basic diseases, respiratory tract the history, different factors of trauma to the treatment time and the relationship between the occurrence of various pulmonary infection. Results 705 cases of elderly patients with surgical trauma occurred in 68 cases with the infection rate of 9.65% pulmonary infection, 89 strains of pathogens, Pseudomonas aeruginosa, Klebsiella pneumoniae, Staphylococcus aureus, Staphylococcus infection. Respectively, accounting for 28.09%, 14.61%, 24.72%, 12.36%; age, trauma surgery in elderly patients with diabetes, duration of hospitalization, anesthesia, operative time and many factors related to pulmonary infection (P0.05), The operation time of the occurrence of infection of lung maximum (OR = 12.81). Conclusion elderly patients with older age, longer operation time, anesthesia, diabetes, bed time and other risk factors associated with pulmonary infection, shorten the operation time, proper anesthesia, strengthening nursing measures to reduce the incidence of pulmonary infection.

【作者单位】：宁波市第九医院急诊科;宁波市第九医院医院普外科;
【基金】：浙江省科技局基金资助项目(CR20120312)
【分类号】：R641

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