麻醉因素与术后肺部感染的相关性分析

发布时间：2018-04-21 16:34

本文选题：麻醉方式 + 肺部感染　；参考：《中华医院感染学杂志》2015年06期

【摘要】：目的分析麻醉相关因素对术后肺部感染的影响,以降低术后感染率。方法回顾性分析2013年6月-2014年6月在医院外科进行全麻的685例手术患者临床资料,统计其性别、年龄、科室、麻醉方式、麻醉时间等病历资料,分析术后肺部感染的相关因素。结果 685例手术患者发生术后肺部感染76例,感染率为11.09%;除了与性别因素无相关性外,年龄、科室种类、麻醉方式、麻醉时间、手术时间、基础疾病因素与术后肺部感染均有显著的影响(P0.05);76例术后肺部感染的患者中共分离鉴定病原菌55株,其中革兰阴性菌38株占69.09%,革兰阳性菌12株占21.82%,真菌5株占9.09%。结论选择合适的麻醉方式,使用一次性过滤器、喉镜、吸氧面罩、呼吸回路、围术期应用抗菌药物均可显著降低麻醉引起的术后感染率。
[Abstract]:Objective to analyze the effect of anaesthesia related factors on postoperative pulmonary infection in order to reduce postoperative infection rate. Methods the clinical data of 685 patients undergoing general anesthesia in hospital surgery from June 2013 to June 2014 were analyzed retrospectively. The data of sex, age, department, anesthetic style and time of anesthesia were analyzed, and the related factors of postoperative pulmonary infection were analyzed. Results there were 76 cases of postoperative pulmonary infection in 685 patients, the infection rate was 11.09%. The factors of basic disease and postoperative pulmonary infection had significant influence on the isolation and identification of 55 strains of pathogenic bacteria in 76 cases of postoperative pulmonary infection, of which 38 strains were Gram-negative bacteria (69.09%), 12 strains were Gram-positive bacteria (21.82%), and 5 strains were fungi (9.09%). Conclusion choosing appropriate anesthesia, using disposable filter, laryngoscope, oxygen mask, respiratory loop, perioperative use of antibiotics can significantly reduce the postoperative infection rate caused by anesthesia.
【作者单位】：浙江大学附属第一医院麻醉科;温岭市第一人民医院麻醉科;
【基金】：浙江医药卫生基金资助项目(2014KYB132)
【分类号】：R614

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