本文選題：手術(shù)時(shí)機(jī) + 肺部感染�。� 參考：《中國(guó)感染控制雜志》2017年03期

【摘要】：目的比較不同手術(shù)時(shí)機(jī)患者術(shù)后肺部感染情況。方法回顧性調(diào)查2014年1—12月某院住院患者中實(shí)施外科手術(shù)的患者,對(duì)患者病例資料進(jìn)行調(diào)查,對(duì)手術(shù)后肺部感染患者進(jìn)行比較。結(jié)果共調(diào)查外科手術(shù)患者20 343例,手術(shù)后發(fā)生肺部感染227例,術(shù)后肺部感染發(fā)病率為1.12%。術(shù)后肺部感染發(fā)病率急診手術(shù)患者為5.13%,高于擇期手術(shù)患者術(shù)后的0.70%,差異有統(tǒng)計(jì)學(xué)意義(χ2=307.49,P0.001)。神經(jīng)外科、普外科、心胸外科組急診手術(shù)后患者肺部感染發(fā)病率均高于擇期手術(shù)患者,差異均有統(tǒng)計(jì)學(xué)意義(均P0.001)。急診手術(shù)后肺部感染患者中年齡60歲、術(shù)前不合理使用抗菌藥物、心腦血管疾病、高血壓及氣管切開(kāi)患者所占比例均高于擇期手術(shù)后肺部感染患者(均P0.05);腫瘤患者所占比例低于擇期手術(shù)患者(P0.05)。結(jié)論急診手術(shù)后患者肺部感染發(fā)病率比擇期手術(shù)患者高,且神經(jīng)外科、普外科、心胸外科的急診手術(shù)后肺部感染發(fā)病率較高。急診手術(shù)中合并心腦血管疾病、高血壓患者是重點(diǎn)防護(hù)人群;對(duì)于擇期手術(shù),腫瘤患者則為重點(diǎn)防護(hù)人群。
[Abstract]:Objective to compare the postoperative pulmonary infection in patients with different operative time. Methods the data of patients undergoing surgical operation in a hospital from January to December 2014 were investigated retrospectively and the pulmonary infection patients after operation were compared. Results A total of 20 343 surgical patients were investigated, 227 cases of pulmonary infection occurred after operation, the incidence of postoperative pulmonary infection was 1.12. The incidence of postoperative pulmonary infection in patients undergoing emergency operation was 5.13, which was higher than that in patients undergoing elective operation (0.70%). The difference was statistically significant (蠂 2, 307.49, P 0.001). The incidence of pulmonary infection in patients with neurosurgery, general surgery and cardiothoracic surgery was significantly higher than that in patients undergoing elective surgery (P 0.001). The age of patients with pulmonary infection after emergency operation was 60 years old. They used antibiotics unreasonably before operation and had cardiovascular and cerebrovascular diseases. The proportion of patients with hypertension and tracheotomy was higher than that of patients with pulmonary infection after elective operation (all P 0.05), and the proportion of patients with tumor was lower than that of patients with elective surgery. Conclusion the incidence of pulmonary infection in patients undergoing emergency surgery is higher than that in patients undergoing elective surgery, and the incidence of pulmonary infection is higher in neurosurgery, general surgery and cardiothoracic surgery. The patients with hypertension are the key protection population in emergency operation, and the patients with tumor are the key protection population for elective operation.
【作者單位】： 南京市仙林鼓樓醫(yī)院;南京大學(xué)醫(yī)學(xué)院附屬鼓樓醫(yī)院;
【分類(lèi)號(hào)】：R619.3

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本文編號(hào)：1959072