老年腹部手术患者术后肺部感染的危险因素及干预措施探讨

发布时间：2018-04-10 17:22

本文选题：腹部手术 + 肺部感染　；参考：《中华医院感染学杂志》2017年07期

【摘要】：目的探讨老年腹部手术患者术后肺部感染危险因素及干预措施,为临床防治提供客观依据。方法选择2012年6月-2015年5月在医院外科接受腹部手术的老年患者620例为研究对象,分析其感染因素。结果 620例老年腹部手术患者术后发生肺部感染56例,感染率为9.0%。年龄、体质量指数(BMI)、呼吸道疾病、糖尿病、吸烟史、手术时间、手术部位、术中气管插管、术后鼻胃管留置时间、术后下床活动时间是发生感染的相关危险因素(P0.05);logistic回归分析发现显示,高龄、合并呼吸道疾病、吸烟、气管插管、鼻胃管留置时间长、下床活动时间晚为腹部手术老年患者术后肺部感染的独立危险因素(P0.05)。结论通过合理、正确的围手术期干预,能够有效降低术后肺部感染率。
[Abstract]:Objective to explore the risk factors and intervention measures of postoperative pulmonary infection in elderly patients undergoing abdominal surgery, and to provide objective basis for clinical prevention and treatment.Methods 620 elderly patients undergoing abdominal surgery from June 2012 to May 2015 were selected as study subjects and their infection factors were analyzed.Results there were 56 cases of pulmonary infection in 620 elderly patients with abdominal surgery, the infection rate was 9.0%.Age, body mass index (BMI), respiratory diseases, diabetes mellitus, smoking history, operative time, site of operation, tracheal intubation during operation, and nasogastric tube indwelling time after operation.Logistic regression analysis showed that age, respiratory diseases, smoking, tracheal intubation and nasogastric tube indwelling were long.The late time of getting out of bed was an independent risk factor for postoperative pulmonary infection in elderly patients undergoing abdominal surgery (P 0.05).Conclusion reasonable and correct perioperative intervention can effectively reduce postoperative pulmonary infection rate.
【作者单位】：平顶山市第二人民医院手术室;平顶山市第二人民医院护理部;平顶山市第二人民医院感染管理科;平顶山市第二人民医院普外科;
【基金】：河南省教育厅科学技术研究重点基金资助项目(14B312264)
【分类号】：R656

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