全身麻醉下老年外科手术患者术后感染的相关因素分析

发布时间：2018-09-10 21:25

【摘要】：目的探讨全身麻醉手术的老年患者术后感染相关因素,为降低术后感染率提供客观依据。方法回顾性分析348例老年外科手术患者的临床资料,统计术后感染部位及感染率,并分析其术后感染的危险因素。结果348例老年外科手术患者术后发生感染52例,感染率为14.9%,其中肺部感染26例,切口感染18例,泌尿系统感染6例,其他感染2例;全身麻醉下老年外科手术患者术后感染在吸烟、手术方式、住院时间、糖尿病、气管导管、喉镜镜片、气管通气道、过滤器使用、钠石灰更换频率、深静脉或动脉穿刺、麻醉时间方面比较差异有统计学意义(P0.05);logistic回归分析显示,吸烟、住院时间长、合并糖尿病、重复性气管导管、重复性喉镜镜片、使用气管导管、未使用过滤器、钠石灰更换频率低、深静脉或动脉穿刺均为老年外科手术患者术后感染的独立危险因素(P0.05)。结论了解老年外科患者手术后感染的危险因素对降低术后感染率、提高手术效果、改善患者预后具有重要临床意义。
[Abstract]:Objective to explore the related factors of postoperative infection in elderly patients undergoing general anesthesia, and to provide objective basis for reducing postoperative infection rate. Methods the clinical data of 348 elderly surgical patients were analyzed retrospectively. The infection site and infection rate after operation were analyzed and the risk factors of postoperative infection were analyzed. Results there were 52 cases of postoperative infection in 348 cases of senile surgery, the infection rate was 14.9. among them, 26 cases were pulmonary infection, 18 cases were incision infection, 6 cases were urinary tract infection, 2 cases were other infection. Postoperative infections in elderly patients undergoing general anesthesia in smoking, surgical procedures, length of stay, diabetes, trachea, laryngoscope, trachea, filter use, sodium lime replacement frequency, deep vein or arterial puncture, The difference in anesthesia time was statistically significant (P0.05) logistic regression analysis showed that smoking, long hospital stay, diabetes mellitus, repetitive trachea catheter, repetitive laryngoscopy, trachea catheter, no filter were used. Sodium lime replacement frequency was low and deep vein or arterial puncture were independent risk factors of postoperative infection in elderly surgical patients (P0.05). Conclusion understanding the risk factors of postoperative infection in elderly surgical patients is of great clinical significance in reducing the postoperative infection rate, improving the operative effect and improving the prognosis of the patients.
【作者单位】：河南科技大学第一附属医院麻醉科;
【分类号】：R614.2

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