【摘要】：目的探討全身麻醉手術(shù)的老年患者術(shù)后感染相關(guān)因素,為降低術(shù)后感染率提供客觀依據(jù)。方法回顧性分析348例老年外科手術(shù)患者的臨床資料,統(tǒng)計(jì)術(shù)后感染部位及感染率,并分析其術(shù)后感染的危險(xiǎn)因素。結(jié)果348例老年外科手術(shù)患者術(shù)后發(fā)生感染52例,感染率為14.9%,其中肺部感染26例,切口感染18例,泌尿系統(tǒng)感染6例,其他感染2例;全身麻醉下老年外科手術(shù)患者術(shù)后感染在吸煙、手術(shù)方式、住院時(shí)間、糖尿病、氣管導(dǎo)管、喉鏡鏡片、氣管通氣道、過濾器使用、鈉石灰更換頻率、深靜脈或動脈穿刺、麻醉時(shí)間方面比較差異有統(tǒng)計(jì)學(xué)意義(P0.05);logistic回歸分析顯示,吸煙、住院時(shí)間長、合并糖尿病、重復(fù)性氣管導(dǎo)管、重復(fù)性喉鏡鏡片、使用氣管導(dǎo)管、未使用過濾器、鈉石灰更換頻率低、深靜脈或動脈穿刺均為老年外科手術(shù)患者術(shù)后感染的獨(dú)立危險(xiǎn)因素(P0.05)。結(jié)論了解老年外科患者手術(shù)后感染的危險(xiǎn)因素對降低術(shù)后感染率、提高手術(shù)效果、改善患者預(yù)后具有重要臨床意義。
[Abstract]:Objective to explore the related factors of postoperative infection in elderly patients undergoing general anesthesia, and to provide objective basis for reducing postoperative infection rate. Methods the clinical data of 348 elderly surgical patients were analyzed retrospectively. The infection site and infection rate after operation were analyzed and the risk factors of postoperative infection were analyzed. Results there were 52 cases of postoperative infection in 348 cases of senile surgery, the infection rate was 14.9. among them, 26 cases were pulmonary infection, 18 cases were incision infection, 6 cases were urinary tract infection, 2 cases were other infection. Postoperative infections in elderly patients undergoing general anesthesia in smoking, surgical procedures, length of stay, diabetes, trachea, laryngoscope, trachea, filter use, sodium lime replacement frequency, deep vein or arterial puncture, The difference in anesthesia time was statistically significant (P0.05) logistic regression analysis showed that smoking, long hospital stay, diabetes mellitus, repetitive trachea catheter, repetitive laryngoscopy, trachea catheter, no filter were used. Sodium lime replacement frequency was low and deep vein or arterial puncture were independent risk factors of postoperative infection in elderly surgical patients (P0.05). Conclusion understanding the risk factors of postoperative infection in elderly surgical patients is of great clinical significance in reducing the postoperative infection rate, improving the operative effect and improving the prognosis of the patients.
【作者單位】： 河南科技大學(xué)第一附屬醫(yī)院麻醉科;
【分類號】：R614.2

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