不同麻醉方法对脑外伤气管切开患者术后呼吸道感染影响及干预措施

发布时间：2018-03-17 18:29

本文选题：麻醉　切入点：护理干预　出处：《中华医院感染学杂志》2015年20期 　论文类型：期刊论文

【摘要】：目的探讨不同麻醉方法对脑外伤气管切开患者术后呼吸道感染影响,为降低医院感染率提供依据。方法回顾性分析2011年2月-2014年12月医院300例脑外伤接受气管切开术患者临床资料,将其随机分为对照组和观察组,各150例,对照组采取全身麻醉,观察组采用局部麻醉,对比分析两组患者术后呼吸道感染率,结果采用χ2检验及t检验进行统计分析。结果呼吸道感染率对照组为26.00%、观察组为16.67%,两组比较差异有统计学意义(χ2=3.8930,P0.05);对照组共检出病原菌163株,其中革兰阴性菌、革兰阳性菌、真菌分别占66.26%、30.67%、3.07%,观察组共检出病原菌129株,其中革兰阴性菌、革兰阳性菌、真菌分别占69.77%、25.58%、4.65%。结论不同麻醉方法与脑外伤患者气管切开术后呼吸道感染相关,应采取针对性护理干预,以降低感染率。
[Abstract]:Objective to investigate the effects of different anesthesia methods on respiratory tract infection in traumatic brain injury patients with tracheotomy after operation, to provide the basis for reducing the rate of hospital infection. Methods Retrospective analysis of February 2011 -2014 year in December the hospital clinical data of 300 patients with traumatic brain injury underwent tracheotomy patients were randomly divided into control group and observation group, each of 150 cases, control group with general anesthesia the observation group, using local anesthesia, compared two groups of patients with respiratory tract infection rate after the 2 test was used and t test were used for statistical analysis. Results the infection rate was 26% in the control group, the observation group was 16.67%, there was significant difference between two groups (2=3.8930, P0.05); the control group of pathogenic bacteria were detected 163 strains of gram negative bacteria, gram positive bacteria and fungi accounted for 66.26%, 30.67%, 3.07%, the observation group a total of 129 strains of pathogens, including gram negative bacteria, Gram-positive bacteria, fungi accounted for 69 .77%, 25.58%, 4.65%. conclusion different anesthesia methods are related to respiratory tract infection after tracheotomy in patients with traumatic brain injury. Targeted nursing interventions should be taken to reduce the infection rate.

【作者单位】：福建医科大学附属第二医院麻醉科;
【基金】：国家自然科学基金资助项目(30470877)
【分类号】：R614

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