麻醉及镇痛方式对胃癌患者术后下呼吸道感染的影响分析

发布时间：2019-05-11 12:02

【摘要】：目的分析不同麻醉及镇痛方式对胃癌患者术后下呼吸道感染的影响,探讨有效的方法降低呼吸道感染率。方法选取2010年5月-2014年5月医院手术胃癌患者86例,随机分为A、B两组,各43例;A组患者给予单纯全麻醉及术后静脉自控镇痛(PCIA),B组给予硬膜外复合全身麻醉及术后硬膜外自控镇痛(PCEA),比较两组患者的呼吸道感染率,数据采用SPSS 19.0软件进行统计分析。结果 A组VAS评分为(0.98±0.34)分,呼吸道感染率为32.56%;B组VAS评分为(0.97±0.35)分,呼吸道感染率为13.95%,经统计检验,两组镇痛效果差异无统计学意义,但B组感染率明显低于A组,差异有统计学意义(P0.05);共检出20株病原菌,以白色假丝酵母菌为主,共5株占25.00%。结论与单纯全麻醉及术后静脉自控镇痛相比,硬膜外复合全身麻醉及术后硬膜外自控镇痛可以降低胃癌患者术后呼吸道感染率,值得临床推广。
[Abstract]:Objective to analyze the effect of different anaesthesia and analgesia on postoperative lower respiratory tract infection in patients with gastric cancer, and to explore effective methods to reduce respiratory tract infection rate. Methods from May 2010 to May 2014, 86 patients with gastric cancer were randomly divided into two groups: group B (n = 43) and group B (n = 43). Patients in group A received general anesthesia combined with epidural anesthesia and postoperative patient-controlled epidural analgesia (PCEA),) in (PCIA), B group, and the respiratory tract infection rate was compared between the two groups. The data were statistically analyzed by SPSS 19.0 software. Results in group A, the VAS score was (0.98 卤0.34), and the respiratory tract infection rate was 32.56%. The VAS score of group B was (0.97 卤0.35) and the infection rate of respiratory tract was 13.95%. There was no significant difference in analgesic effect between the two groups, but the infection rate of group B was significantly lower than that of group A (P 0.05). A total of 20 strains of pathogenic bacteria were detected, mainly candida albicans, 5 strains (25.00%). Conclusion compared with general anesthesia and postoperative patient-controlled intravenous analgesia, epidural combined general anesthesia and postoperative patient-controlled epidural analgesia can reduce postoperative respiratory tract infection rate in patients with gastric cancer, which is worthy of clinical popularization.
【作者单位】：浙江省立同德医院麻醉科;
【基金】：浙江省医药卫生计划基金资助项目(2014KYB049)
【分类号】：R614;R735.2

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