不同麻醉方式下老年人骨科术后并发下呼吸道感染的比较  

Effects of different types of anesthesia on lower respiratory tract infections in elderly patients of orthopedic surgery

作　　者：陶红蕾[1] 周程[1] 李国政[1] 傅之梅[1] 彭从斌[1] 

机构地区：[1]浙江省立同德医院麻醉科,浙江省杭州310012

出　　处：《中国基层医药》2014年第22期3369-3370,共2页Chinese Journal of Primary Medicine and Pharmacy

基　　金：浙江省中医药科技计划项目（20108542488）

摘　　要：目的：分析不同麻醉方式与老年骨科患者术手并发下呼吸道感染的相关性。方法对445例不同麻醉方式的老年骨科患者术后下呼吸道感染发生情况进行回顾性分析。结果169例气管插管全身麻醉组感染发生率为23．08％，173例椎管内麻醉组感染发生率为12．14％，103例神经阻滞麻醉组感染发生率为4．85％，三组感染率差异有统计学意义（χ^2=13．784，P＝0．001）。结论气管插管全身麻醉术后下呼吸道感染率较高。Objective To investigate the effects of different types of anesthesia on the incidence rates of low-er respiratory tract infections of elderly patients in orthopedic department.Methods Clinical data from 445 elderly patients in orthopedic department were collected and retrospectively analyzed.We also investigated the relationship be-tween the types of anesthesia and the lower respiratory tract infections.Results The incidence rates of lower respira-tory tract infections were 23.08%in 169 cases,12.14%in 173 cases,and 4.85%in 103 cases after general anesthe-sia with tracheal intubation,intraspinal anesthesia,and nerve blocking anesthesia,respectively.There was statistically significant difference in the infection rates among the three groups （χ^2=13.784,P=0.001）.Conclusion Different ways of anesthesia is critically correlated with the incidence of the lower respiratory tract infections in elderly patients.

关 键 词：麻醉 呼吸道感染 老年人 

分 类 号：R614[医药卫生—麻醉学]