麻醉与镇痛方式对胃癌患者术后下呼吸道感染的影响分析

发布时间：2018-03-24 13:23

本文选题：麻醉及镇痛　切入点：胃癌　出处：《中华医院感染学杂志》2015年02期

【摘要】：目的探讨胃癌患者手术时不同麻醉方式和术后不同镇痛方式对下呼吸道感染的影响,分析其不同效果。方法选取2012年3月-2014年3月在医院治疗的胃癌患者218例,根据患者的临床资料,分为A、B、C、D 4组,其中A组56例、B组68例、C组49例、D组45例,术前均采用同样的诱导麻醉,但4组术中麻醉方式和术后镇痛方式不同,其中A组术中吸入强化麻醉、术后吗啡肌内注射止痛;B组术中吸入强化麻醉、术后吗啡药泵止痛;C组术中静脉强化麻醉、术后吗啡肌内注射止痛;D组术中静脉强化麻醉、术后吗啡药泵止痛。结果 A组术后感染5例,感染率为8.3%;B组术后感染3例,感染率为4.4%;C组术后感染11例,感染率为22.4%;D组术后感染8例,感染率为17.7%;4组间感染率的差异有统计学意义(P0.05)。结论术中不同麻醉方式和术后不同镇痛方式严重影响患者下呼吸道感染率,且术中吸入麻醉+术后药泵止痛能有效减少胃癌患者术后下呼吸道感染的概率。
[Abstract]:Objective to investigate the effects of different anesthetic and postoperative analgesic methods on lower respiratory tract infection in patients with gastric cancer. Methods 218 patients with gastric cancer treated in hospital from March 2012 to March 2014 were selected. According to the clinical data of the patients, they were divided into two groups: group A (56 cases), group B (68 cases), group C (49 cases) and group D (45 cases). In group A, intensive anesthesia was inhaled during operation, intramuscular injection of morphine was used to relieve pain, intensive anesthesia was inhaled during operation in group B, intravenous anesthesia was intensified during operation in group C with morphine pump for analgesia, and intravenous anesthesia was intensified in group D after intramuscular injection of morphine. Results there were 5 cases of postoperative infection in group A, 3 cases of postoperative infection in group B, 11 cases of postoperative infection in group C and 8 cases of postoperative infection in group D. There was significant difference in infection rate among the four groups (P 0.05). Conclusion the infection rate of lower respiratory tract was seriously affected by different anesthetic methods during operation and different analgesic methods after operation. The lower respiratory tract infection rate in patients with gastric cancer was reduced after operation.
【作者单位】：浦江中医院麻醉科;
【基金】：浙江省医药卫生基金资助项目(2013KYB237)
【分类号】：R614

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