腹部手术患儿术后发生肺部感染的危险因素及干预对策

发布时间：2018-05-30 15:26

本文选题：肺部感染 + 儿童　；参考：《中华医院感染学杂志》2017年07期

【摘要】：目的探讨儿童腹部手术后肺部感染的危险因素及干预对策,为术后肺部感染的预防提供参考依据。方法回顾性分析2008年1月-2015年7月行腹部手术后肺部感染的患儿54例(肺部感染组)临床资料,按照1∶1比例随机选取同期儿童行腹部手术后未发生肺部感染的患儿54例为对照(无肺部感染组),分析结果。结果肺部感染组患者肥胖、手术部位为上腹部手术、急诊手术、麻醉为全麻、术后留置鼻胃管、联合使用抗菌药物等因素均高于无肺部感染组,两组比较差异均有统计学意义(P0.05);非条件多因素logistic回归分析显示,肥胖、年龄小、上腹部手术、麻醉为全麻、术后留置鼻胃管、血红蛋白水平低、住院时间长是引起患儿术后发生肺部感染的独立危险因素(P0.05)。结论患儿存在以上危险因素应积极进行干预与预防以降低术后肺部感染。
[Abstract]:Objective to explore the risk factors and intervention strategies of pulmonary infection after abdominal surgery in children, and to provide reference for prevention of postoperative pulmonary infection. Methods the clinical data of 54 children with pulmonary infection after abdominal surgery from January 2008 to July 2015 were retrospectively analyzed. According to the 1:1 ratio, 54 children who had no pulmonary infection after abdominal operation were randomly selected as control group (no pulmonary infection group, the results were analyzed. Results the patients in pulmonary infection group were obese, the site of operation was epigastric operation, emergency operation, general anesthesia, after operation, the nasogastric tube was retained, and the combined use of antimicrobial agents was higher than that in the group without pulmonary infection. The difference between the two groups was statistically significant (P 0.05), non-conditional multivariate logistic regression analysis showed that obese, young, epigastric operation, anesthesia was general anesthesia, postoperative nasogastric tube was retained, and hemoglobin level was low. Long hospital stay was an independent risk factor for postoperative pulmonary infection in children (P 0.05). Conclusion Children with these risk factors should be actively intervention and prevention to reduce postoperative pulmonary infection.
【作者单位】：郑州大学南阳医院南阳市中心医院新生儿重症监护病区;郑州大学南阳医院南阳市中心医院NICU;郑州大学南阳医院南阳市中心医院小儿外科;
【基金】：河南省科技厅科技发展计划基金(14A316524)
【分类号】：R726.5

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