肺癌患者手术后下呼吸道医院感染与麻醉相关因素研究

发布时间：2018-11-01 11:10

【摘要】：目的探讨肺癌患者手术后下呼吸道医院感染与麻醉相关因素,为降低肺癌术后医院感染发生率提供依据。方法回顾性分析2009年12月-2013年12月收治的86例肺癌患者临床资料,观察患者住院医院感染发生率,并对发生感染的相关因素进行分析,按照患者术后是否采用镇痛,将患者分为术后镇痛组54例和非镇痛组32例,观察术后采用镇痛与下呼吸道感染的相关性。结果 86例患者发生医院感染12例,发生率为13.95%,其中切口感染2例占16.67%、泌尿道感染1例占8.33%、下呼吸道感染9例占75.00%;术后非镇痛组患者发生感染9例,发生率为28.13%,镇痛组患者发生感染3例,发生率为5.56%,两组患者感染发生率相比,差异有统计学意义(P0.05);且患者术后采用镇痛泵后镇痛效果显著优于未使用镇痛泵组,两组相比,差异有统计学意义(P0.05)。结论肺癌患者术后下呼吸道感染发生率较高,且与患者术后是否使用镇痛有显著的相关性。
[Abstract]:Objective to investigate the nosocomial infection of lower respiratory tract and anaesthesia related factors in patients with lung cancer after operation, and to provide evidence for reducing the incidence of nosocomial infection after lung cancer operation. Methods the clinical data of 86 patients with lung cancer from December 2009 to December 2013 were retrospectively analyzed. The incidence of nosocomial infection was observed and the related factors were analyzed. Patients were divided into postoperative analgesia group (n = 54) and non-analgesia group (n = 32). The correlation between postoperative analgesia and lower respiratory tract infection was observed. Results there were 12 cases of nosocomial infection in 86 cases (13.95%), among which 2 cases had incision infection (16.67%), 1 case had urinary tract infection (8.33%), 9 cases had lower respiratory tract infection (75.00%). There were 9 cases of infection in non-analgesia group (28.13%) and 3 cases of infection (5.56%) in analgesia group. The difference between the two groups was statistically significant (P0.05). The analgesic effect of patients with postoperative analgesia pump was significantly better than that of no analgesic pump group, the difference between the two groups was statistically significant (P0.05). Conclusion the incidence of lower respiratory tract infection in patients with lung cancer after operation is higher, and there is a significant correlation between postoperative analgesia and postoperative analgesia.
【作者单位】：浙江省立同德医院麻醉科;
【基金】：浙江省科技局基金资助项目(2010ZYC-A09)
【分类号】：R734.2

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