患者术后肺部感染与麻醉的相关性研究

发布时间：2018-06-17 18:22

本文选题：患者 + 术后　；参考：《中华医院感染学杂志》2015年20期

【摘要】：目的探讨患者术后发生肺部感染与麻醉的相关性,为降低术后感染率提供临床依据。方法选择2013年1月-2015年1月医院接诊的702例手术患者临床资料进行研究,对比分析患者术后肺部感染率、术后影响因素、麻药吸入及病原菌分布,数据采用SPSS18.0软件进行统计分析。结果 702例手术患者术后发生肺部感染60例,感染率8.55%;术后肺部感染患者的科室、麻醉方式、基础疾病、手术时间及麻醉时间等相关因素及其感染率对比,差异有统计学意义(P0.05);术后肺部感染患者吸入麻药46例,占76.67%,未吸入麻药14例,占23.33%,差异有统计学意义(P0.05);肺部感染患者共检出病原菌60株,其中革兰阴性菌41株占68.34%,革兰阳性菌13株占21.66%,真菌6株占10.00%。结论患者术后发生肺部感染与麻醉方式、麻醉时间及吸入麻药等有关,有效积极治疗基础疾病、强化术前评估、选择恰当的麻醉方式,加强术中无菌管理、合理化使用抗菌药物均是降低术后肺部感染很有效的措施。
[Abstract]:Objective to investigate the correlation between postoperative pulmonary infection and anesthesia, and to provide clinical basis for reducing postoperative infection rate. Methods the clinical data of 702 patients who were treated in hospital from January 2013 to January 2015 were studied. The postoperative pulmonary infection rate, postoperative influencing factors, anesthetic inhalation and distribution of pathogens were compared and analyzed. The data were analyzed by SPSS 18.0 software. Results there were 60 cases of postoperative pulmonary infection in 702 patients, the infection rate was 8.55%, and the relative factors, such as department, anesthetic method, basic disease, time of operation and time of anesthesia, and the infection rate of the patients with postoperative pulmonary infection were compared. The difference was statistically significant (P 0.05), 46 cases (76.67%) were inhaled anesthetics, 14 cases (23.3333) were not inhaled, 60 strains of pathogenic bacteria were detected in patients with pulmonary infection. Among them, 41 strains of Gram-negative bacteria accounted for 68.34%, 13 strains of Gram-positive bacteria accounted for 21.66%, and 6 strains of fungi accounted for 10.00%. Conclusion Pulmonary infection after operation is related to anesthetic method, anesthetic time and inhaled anesthetic, which can effectively treat basic diseases, strengthen preoperative evaluation, select appropriate anaesthesia methods, and strengthen sterile management during operation. Rational use of antibiotics is an effective measure to reduce postoperative pulmonary infection.
【作者单位】：衢州市人民医院麻醉科;
【基金】：吴介平医学基金资助项目(2014.234.789)
【分类号】：R614

【参考文献】