摘要
目的:调查支气管镜检查患者术后发热的影响因素,为预防术后发热提供依据。方法:于2017年7-12月,调查我院住院行支气管镜检查患者术后发热的情况,采用多元Logistic回归模型分析术后发热的影响因素。结果:500例住院行支气管镜检查患者中80例(16.0%)术后出现了发热;多因素分析结果表明,术前牙菌斑指数、行镜下黏膜活检或肺泡灌洗以及手术时间是患者支气管镜检查术后发热的危险因素。结论:术前牙菌斑指数越高、行镜下黏膜活检或肺泡灌洗、手术时间越长,术后发热的可能性越大;术前采取有效措施减少牙菌斑、改善患者口腔卫生状况,严格遵守操作指南,缩短操作时间,可以预防术后发热。
Objective:To investigate the influencing factors of postoperative fever after painless bronchoscopy,so as to provide references for the prevention of postoperative fbver.Methods:We investigated the postoperative fever of the inpatients with painless bronchoscopy in our hospital from July to December,2017 and multivariate Logistic regression model was used to analyze the influencing factors of postoperative fbver.Results:Totally eighty patients(16.0%)of the 500 inpatients who underwent bronchoscopy developed fever after surgery.The results of multivariate analysis showed that preoperative plaque index,intraoperative biopsy or lavage and operative time were the risk factors of postoperative fever after bronchoscopy.Conclusion:The higher preoperative plaque index,the longer intraoperative biopsy or irrigation,and the longer operative time were,the greater the possibility of postoperative fever was.In order to prevent postoperative fever,it is suggested that we should strictly obey the operation guide,shorten the operative time,and take effective measure before the operation to reduce the plaque to improve the oral hygiene condition of the patient.
作者
杨惠芳
朱建芬
徐敏
吴婷婷
陈萍萍
YANG Huifang;ZHU Jianfen;XU Min;WU Tingting;CHEN Pingping(Endoscopy Center,The First Affiliated Hospital of Wenzhou Medical University,Wenzhou,Zhejiang province,325000,China)
出处
《中国护理管理》
CSCD
北大核心
2019年第6期957-960,共4页
Chinese Nursing Management
