71例全身麻醉后下呼吸道感染患者的临床分析  

Clinical analysis of 71 cases of lower respiratory tract infections after general anesthesia

作　　者：王华庆[1] 徐晖[1] 王文伟[1] 陶敏[1] 

机构地区：[1]台州市第一人民医院麻醉科,浙江台州318020

出　　处：《中华医院感染学杂志》2012年第5期933-934,共2页Chinese Journal of Nosocomiology

摘　　要：目的研究麻醉手术后发生下呼吸道感染患者的影响因素。方法将各种分析因素带入多元线形回归方程,对71例手术后下呼吸道感染病例进行回顾性分析。结果影响代谢综合征发病的主要因素是年龄、手术种类、麻醉方式;>60岁的老年患者31例,占43.7%,远高于其他年龄段的患者;神经系统疾病的比例最高,占49.2%,第2位是胸部及心血管系统疾病,占23.2%;在麻醉方式中,全身麻醉占下呼吸道感染病例的52.2%,神经阻滞椎管内麻醉占24.2%,局部浸润麻醉占23.6%。结论加强对麻醉后下呼吸道感染的预防,针对其主要影响因素采取相应对策。OBJECTIVE To investigate the related factors for lower respiratory tract infections in patients after anesthesia operation.METHODS A total of 71 patients with lower respiratory tract infections after operation were retrospectively analyzed.Multiple linear regression analysis was performed.RESULTS The impact factors of metabolic syndrome were age,operation type and anesthesia.The incidence was high in patients higher than 60 years old（43.7%）,in patients with nervous system diseases（49.2%）,in patients with thoracic and cardiovascular system diseases（23.2%） the incidence was 52.2% in patients who underwent general anesthesia and 24.2% in patients who underwent nerve block spinal anaesthesia and 23.6% in local infiltration anesthesia.CONCLUSION Prevention of lower respiratory tract infections should be strengthened and countermeasures should be taken to manage its related factors.

关 键 词：全身麻醉 下呼吸道感染 分析 

分 类 号：R181.32[医药卫生—流行病学]