烟草危害对手术患者围术期结局的影响  

Effects of tobacco hazards on perioperative outcome in surgical patients

作　　者：张平[1] 张宗旺[2] 

机构地区：[1]徐州医学院江苏省麻醉学重点实验室&江苏省麻醉与镇痛应用技术重点实验室,221004 [2]山东省聊城市人民医院麻醉科

出　　处：《国际麻醉学与复苏杂志》2014年第7期634-637,共4页International Journal of Anesthesiology and Resuscitation

摘　　要：背景 烟草危害是当今世界最严重的公共卫生问题之一.每年约有0.69亿吸烟患者接受手术治疗,其中数百万患者围术期出现呼吸和心血管并发症. 目的 就吸烟对手术患者围术期结局的影响及其发生机制作一综述. 内容 吸烟患者围术期发生肺炎、非预期气管插管、机械通气、心脏骤停、心肌梗死、中风、切口深部或浅部感染、败血症、器官腔隙感染和感染性休克的机率增加,术后阿片类药物需要量增加. 趋向 研究烟草危害对围术期患者并发症和疼痛敏感性影响的机制,为进一步采取干预措施,促进患者康复提供理论依据.Background The dangers of tobacco is one of the most serious public health problem in the world today.Some 69 million adults receive operations every year,and millions of them encounter perioperative respiratory and cardiovascular complications.Objective This article reviewed the effects of smoking on the surgical outcomes in patients and its mechanism.Content During perioperative period smoking patients encounter with pneumonia,non-expected endotracheal intubation,mechanical ventilation,cardiac arrest,myocardial infarction,stroke,superficial or deep cut infection,sepsis,organ cavity infection and septic shock,postoperative opioid requirements increase.Trend Study on the mechanisms of influence of smoking on perioperative complications and pain sensitivity provide theoretical basis for the rehabilitation of surgical patients.

关 键 词：吸烟 围术期 并发症 术后疼痛 

分 类 号：R619[医药卫生—外科学]