摘要
目的探讨上消化道术后并发肺部感染的危险因素,以制定相应的干预对策,为术后肺部感染的防治提供依据。方法选择2007年1月-2013年1月在医院行上消化道穿孔术患者346例进行回顾性分析;采用SPSS19.0软件进行统计分析。结果 346例行上消化道穿孔术患者术后发生肺部感染95例,感染率为27.5%;上消化道穿孔术后危险因素的比较中,以年龄、胃肠减压时间、术前发生休克、手术麻醉方式、术后是否镇痛、合并有其他肺部慢性疾病是发生肺部感染的危险因素;多因素logistic回归分析显示,胃肠减压时间、年龄以及合并肺部慢性疾病是肺部感染的独立危险因素(P<0.05)。结论患者胃肠减压时间、年龄以及合并肺部慢性疾病是上消化道穿孔术后肺部感染的独立危险因素,对肺部感染要采取积极的干预措施,以降低其发生率。
OBJECTIVE To explore the risk factors for postoperative pulmonary infections in patients undergoing upper gastrointestinal perforation so as to put forward corresponding intervention measures, and provide guidance for prevention and treatment of postoperative pulmonary infections. METHODS A total of 346 patients who underwent upper gastrointestinal perforation in the hospital from Jan 2007 to Jan 2013 were retrospectively analyzed, and the statistical analysis was performed with the use of SPSS19.0 software. RESULTS The postoperative pulmo- nary infections occurred in 95 of 346 patients undergoing the upper gastrointestinal perforation, with the infection rate of 27.5%. The risk factors for the postoperative pulmonary infections included the age, gastrointestinal decompression time, preoperative shock, anesthesia approach, postoperative analgesia, and complication of other chronic pulmonary diseases; the multivariate logistic regression analysis indicated that the gastrointestinal decompression time, age, and complication of chronic pulmonary diseases were the independent risk factors for the pulmonary infections （P〈0.05）. CONCLUSION The gastrointestinal decompression time, age, and complication of chronic pulmonary diseases are the independent risk factors for the pulmonary infections after the upper gastrointestinal perforation. It is necessary to take active intervention measures so as to reduce the incidence of pulmonary infections.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2014年第17期4301-4303,共3页
Chinese Journal of Nosocomiology
基金
浙江省自然科学基金资助项目(2012180305)
关键词
上消化道穿孔
术后并发症
肺部感染
干预对策
Upper gastrointestinal perforation
Postoperative complication
Pulmonary infection
Interventionmeasure
