不同年龄及手术部位对全身麻醉复合硬膜外麻醉患者术后肺部感染发生的影响

发布时间：2018-04-06 05:19

本文选题：全身麻醉　切入点：年龄　出处：《中华医院感染学杂志》2017年06期

【摘要】：目的探讨不同年龄及手术部位对全身麻醉复合硬膜外麻醉患者术后肺部感染发生的影响,为术后肺部感染的预防治疗提供参考。方法选取医院2015年8月-2016年8月在全身麻醉复合硬膜外麻醉下行手术的300例患者,观察患者术后肺部感染发生情况。结果 300例患者术后发生肺部感染32例,感染率为10.67%;18~60岁患者肺部感染率3.35%、61~80岁患者肺部感染率15.63%、80岁患者肺部感染率55.56%,不同年龄患者术后肺部感染率比较差异有统计学意义(P0.05),各年龄段间感染率相互两两比较差异均有统计学意义(P0.05);胸部手术术后肺部感染率21.92%、上腹部手术术后感染率10.78%、下腹部手术术后感染率4.00%,不同手术部位患者术后肺部感染率比较差异有统计学意义(P0.05),各手术部位间感染率相互两两比较差异均有统计学意义(均P0.05)。结论患者年龄与手术部位对全身麻醉复合硬膜外麻醉下手术患者术后肺部感染的发生存在影响,高龄及胸部手术是全身麻醉复合硬膜外麻醉下手术患者术后肺部感染发生的高危人群。
[Abstract]:Objective to investigate the effect of different ages and sites on postoperative pulmonary infection in patients with general anesthesia combined with epidural anesthesia, and to provide reference for the prevention and treatment of postoperative pulmonary infection.Methods 300 patients undergoing general anesthesia combined with epidural anesthesia from August 2015 to August 2016 were selected to observe the incidence of postoperative pulmonary infection.Results there were 32 cases of pulmonary infection after operation in 300 cases.The pulmonary infection rate of the patients aged 3.35 ~ 61or 80 years old is 10.670.67 ~ 1860 years old. The lung infection rate of patients aged 15.6380 years is 15.6380 years old. There is a significant difference in postoperative lung infection rate between different age groups (P 0.05), and the infection rate among different age groups is different.The infection rate of lung was 21.92% in chest operation, 10.78 in upper abdominal operation, 4.00 in lower abdominal operation.There were significant differences in infection rate among different sites (P 0.05).Conclusion Age and site of operation have influence on the incidence of postoperative pulmonary infection in patients undergoing general anesthesia combined with epidural anesthesia.Elderly and thoracic surgery is a high risk group for postoperative pulmonary infection in patients undergoing general anesthesia combined with epidural anesthesia.
【作者单位】：平顶山市第二人民医院麻醉科;平顶山市第二人民医院ICU;
【基金】：河南省医学科技攻关计划基金资助项目(201504H337)
【分类号】：R614

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