摘要
目的探讨气管插管全麻的上腹部手术患者术后肺部感染的相关因素,降低全麻术后肺部感染发生率、提高麻醉安全。方法选择医院实施气管插管全麻患者的临床资料624份,收集患者一般资料、麻醉资料及治疗资料,采用χ2检验分析患者术后肺部感染的相关因素,采用多因素logistic回归分析肺部感染的独立影响因素。结果 624例气管插管全麻的上腹部手术患者术后肺部感染49例,肺部感染率为7.85%,单因素分析结果显示年龄(χ2=4.316,P=0.038)、体重指数(χ2=6.113,P=0.013)、手术种类(χ2=9.571,P=0.002)、插管时间(χ2=12.49,P=0.000)、吸烟史(χ2=20.197,P=0.000)是气管插管全麻上腹部手术术后肺部感染的相关因素,logistic回归分析显示手术种类(OR=6.014)、插管时间(OR=0.942)、吸烟史(OR=1.209)是气管插管全麻上腹部手术术后肺部感染的独立影响因素。结论气管插管全麻上腹部手术患者术后肺部感染风险较高,麻醉前要给予充分评估,对危险因素加以干预,减少术后肺部感染的发生率。
OBJECTIVE To investigate the related risk factors for pulmonary infections in the patients who underwent the upper abdominal surgery under the general anesthesia with trachea cannula so as to reduce the incidence of the pulmonary infections and improve the safety of anesthesia. METHODS The clinical data of 624 cases of patients who underwent the general anesthesia with trachea cannula in the hospital were selected, the general data, anesthesia data and the treatment data of the patients were collected. The 2 test was performed to analyze the related factors of the postoperative pulmonary infections, and the independent influencing factors of the pulmonary infections were analyzed through the multivariate logistic regression. RESULTS Of totally 624 patients who underwent the upper abdominal surgery under general anesthesia with trachea cannula, the pulmonary infections occurred in 49 cases with the incidence rate of 7.85 %, the univariate analysis indicated that the age（χ2 = 4. 316,P=0. 038）, body mass index（BMI） （χ2 =6. 113,P=0. 013）, type of operation （ χ2 =9. 571, P=0. 002）, catheterization duration （ χ2 = 12.49, P= 0. 000）, and smoking history （χ2 = 20.197, P = 0. 000） were the related factors for the postoperative pulmonary infections, while the multivariate logistic regression analysis showed that the type of operation（OR = 6. 014）, catheterization duration（OR = 0. 942）, and smoking history（OR = 1. 209） were the independent influencing factors for the postoperative pulmonary infections. CONCLUSION The patients undergoing the upper abdominal surgery under general anesthesia with trachea cannula are at high risk of the pulmonary infections. It is necessary to fully assess before the anesthesia and take interventions to the risk factors so as to reduce the incidence of postoperative pulmonary infections.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2013年第10期2332-2333,2342,共3页
Chinese Journal of Nosocomiology
关键词
气管插管全麻
上腹部手术
肺部感染
相关因素
独立影响因素
General anesthesia with trachea cannula
Upper abdominal surgery
Pulmonary infection
Relatedfactor
Independent influencing factor
