本文選題：患者 + 術(shù)后��； 參考：《中華醫(yī)院感染學(xué)雜志》2015年20期

【摘要】：目的探討患者術(shù)后發(fā)生肺部感染與麻醉的相關(guān)性,為降低術(shù)后感染率提供臨床依據(jù)。方法選擇2013年1月-2015年1月醫(yī)院接診的702例手術(shù)患者臨床資料進(jìn)行研究,對(duì)比分析患者術(shù)后肺部感染率、術(shù)后影響因素、麻藥吸入及病原菌分布,數(shù)據(jù)采用SPSS18.0軟件進(jìn)行統(tǒng)計(jì)分析。結(jié)果 702例手術(shù)患者術(shù)后發(fā)生肺部感染60例,感染率8.55%;術(shù)后肺部感染患者的科室、麻醉方式、基礎(chǔ)疾病、手術(shù)時(shí)間及麻醉時(shí)間等相關(guān)因素及其感染率對(duì)比,差異有統(tǒng)計(jì)學(xué)意義(P0.05);術(shù)后肺部感染患者吸入麻藥46例,占76.67%,未吸入麻藥14例,占23.33%,差異有統(tǒng)計(jì)學(xué)意義(P0.05);肺部感染患者共檢出病原菌60株,其中革蘭陰性菌41株占68.34%,革蘭陽(yáng)性菌13株占21.66%,真菌6株占10.00%。結(jié)論患者術(shù)后發(fā)生肺部感染與麻醉方式、麻醉時(shí)間及吸入麻藥等有關(guān),有效積極治療基礎(chǔ)疾病、強(qiáng)化術(shù)前評(píng)估、選擇恰當(dāng)?shù)穆樽矸绞?加強(qiáng)術(shù)中無(wú)菌管理、合理化使用抗菌藥物均是降低術(shù)后肺部感染很有效的措施。
[Abstract]:Objective to investigate the correlation between postoperative pulmonary infection and anesthesia, and to provide clinical basis for reducing postoperative infection rate. Methods the clinical data of 702 patients who were treated in hospital from January 2013 to January 2015 were studied. The postoperative pulmonary infection rate, postoperative influencing factors, anesthetic inhalation and distribution of pathogens were compared and analyzed. The data were analyzed by SPSS 18.0 software. Results there were 60 cases of postoperative pulmonary infection in 702 patients, the infection rate was 8.55%, and the relative factors, such as department, anesthetic method, basic disease, time of operation and time of anesthesia, and the infection rate of the patients with postoperative pulmonary infection were compared. The difference was statistically significant (P 0.05), 46 cases (76.67%) were inhaled anesthetics, 14 cases (23.3333) were not inhaled, 60 strains of pathogenic bacteria were detected in patients with pulmonary infection. Among them, 41 strains of Gram-negative bacteria accounted for 68.34%, 13 strains of Gram-positive bacteria accounted for 21.66%, and 6 strains of fungi accounted for 10.00%. Conclusion Pulmonary infection after operation is related to anesthetic method, anesthetic time and inhaled anesthetic, which can effectively treat basic diseases, strengthen preoperative evaluation, select appropriate anaesthesia methods, and strengthen sterile management during operation. Rational use of antibiotics is an effective measure to reduce postoperative pulmonary infection.
【作者單位】： 衢州市人民醫(yī)院麻醉科;
【基金】：吳介平醫(yī)學(xué)基金資助項(xiàng)目(2014.234.789)
【分類號(hào)】：R614

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本文編號(hào)：2032009