老年患者气管插管全麻术中预防呼吸道感染的临床分析

发布时间：2018-07-23 19:13

【摘要】：目的探讨一次性过滤器在老年患者气管插管全麻术中预防呼吸道感染的价值,为临床预防呼吸道感染提供基础。方法选择2013年1月-2014年12月644例择期行气管插管全麻术的老年患者为研究对象,按随机数字表法分为观察组和对照组各322例,观察组使用一次性过滤器,对照组未使用一次性过滤器,手术前后收集麻醉机钠石灰端、呼气端和吸气端标本送实验室检验,对比分析两组细菌学检验结果以及术后呼吸道感染率。结果观察组患者麻醉机钠石灰端、呼气端及吸气端阳性率分别为0.6%、0.9%及0.3%,均明显低于对照组的5.6%、10.2%及3.1%,差异有统计学意义(P0.05);观察组患者呼吸道感染率0.9%明显低于对照组的3.4%,差异有统计学意义(P0.05)。结论一次性病毒/细菌过滤器可有效预防老年气管插管全麻手术后呼吸道感染,值得临床应用。
[Abstract]:Objective to explore the value of disposable filter in preventing respiratory tract infection during tracheal intubation in elderly patients, and to provide basis for clinical prevention of respiratory tract infection. Methods from January 2013 to December 2014, 644 elderly patients undergoing tracheal intubation general anesthesia were selected as the study objects. According to the random number table method, 322 cases in the observation group and the control group were divided into two groups. In the control group, no disposable filter was used. The samples of sodium lime end, expiratory end and inspiratory end of anesthetic machine were collected and sent to laboratory before and after operation. The results of bacteriological examination and postoperative respiratory tract infection were compared and analyzed between the two groups. Results in the observation group, the anaesthesia machine sodium lime end, The positive rates of expiratory end and inspiratory end were 0.9% and 0.3%, respectively, which were significantly lower than those of control group (5.6% and 3.1%) (P0.05), and the respiratory tract infection rate of observation group (0.9%) was significantly lower than that of control group (3.4%) (P0.05). Conclusion one-time virus / bacteria filter can effectively prevent respiratory tract infection after tracheal intubation in elderly patients and is worthy of clinical application.
【作者单位】：德州市第二人民医院麻醉科;山东大学齐鲁医院麻醉科;
【基金】：山东省自然科学基金资助项目(ZR2012HM027)
【分类号】：R614

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