不同麻醉方式与术后医院感染相关性研究

发布时间：2018-09-08 17:28

【摘要】：目的探讨手术患者全身麻醉和硬膜外麻醉与手术后医院感染相关性研究,为减少手术患者术后感染提供理论依据。方法随机抽取医院2011年12月-2013年12月收治的206例需手术患者进行研究,按照麻醉的不同将患者分为全身麻醉组和硬膜外麻醉组,每组各103例,对两组患者医院感染的相关性进行分析,数据采用SPSS18.0软件进行统计分析。结果全身麻醉组患者术后发生医院感染8例,感染率为7.77%;硬膜外麻醉组患者术后发生医院感染4例,感染率为3.88%;两组医院感染率相比,差异有统计学意义(P0.05);全身麻醉组患者呼吸道感染发生率为37.50%,硬膜外麻醉组患者无呼吸道感染发生,全身麻醉组显著高于硬膜外麻醉组,差异有统计学意义(P0.05);导致全身麻醉患者医院感染发生率与其气管插管有着显著的相关性,与全身麻醉中未使用气管插管的患者相比,差异有统计学意义(P0.05)。结论全身麻醉手术患者术后医院感染风险较高,麻醉前要给予充分评估,对危险因素加以干预,以控制和降低患者术后医院感染发生率。
[Abstract]:Objective to study the correlation between general anesthesia and epidural anesthesia and postoperative nosocomial infection (Nosocomial infection) in order to provide theoretical basis for reducing postoperative infection. Methods A total of 206 patients undergoing surgery were randomly selected from December 2011 to December 2013 in our hospital. According to the different anesthetic conditions, the patients were divided into general anesthesia group (n = 103) and epidural anesthesia group (n = 103), each group was divided into general anesthesia group (n = 103) and epidural anesthesia group (n = 103). The correlation of nosocomial infection between the two groups was analyzed. The data were analyzed by SPSS18.0 software. Results the nosocomial infection occurred in 8 patients in the general anesthesia group, the infection rate in the epidural anesthesia group was 7.777.The nosocomial infection rate was 3.88 in the epidural anesthesia group, and the nosocomial infection rate was 3.88 in the epidural anesthesia group. The incidence of respiratory tract infection in general anesthesia group was 37.50. There was no respiratory tract infection in epidural anesthesia group, and the incidence of respiratory tract infection in general anesthesia group was significantly higher than that in epidural anesthesia group. The difference was statistically significant (P0.05); the incidence of nosocomial infection in patients with general anesthesia was significantly correlated with tracheal intubation, and the difference was statistically significant compared with the patients who did not use tracheal intubation in general anesthesia (P0.05). Conclusion the risk of nosocomial infection in patients undergoing general anesthesia surgery is high. The risk factors should be fully evaluated before anesthesia to control and reduce the incidence of postoperative nosocomial infection.
【作者单位】：潍坊市人民医院麻醉科;
【基金】：山东省博士后专项基金资助项目(201103124)
【分类号】：R614

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