上腹部全麻手术患者肺部感染的临床研究  

Clinical research of pulmonary infections in patients undergoing abdominal surgery under general anesthesia

作　　者：范荣林 胡晓萍 叶杏子 

机构地区：[1]东阳市人民医院巍山分院麻醉科,浙江东阳322109

出　　处：《中华医院感染学杂志》2015年第1期181-182,185,共3页Chinese Journal of Nosocomiology

基　　金：浙江省医药卫生基金资助项目(2011KYB046)

摘　　要：目的研究上腹部全麻术后患者肺部感染临床资料,以指导麻醉手术后感染的预防。方法选取2012年3月-2014年3月在医院接受上腹部全麻手术的患者158例,设为研究组,另选同期在医院接受上腹部硬膜外阻滞麻醉手术的患者155例作为对照组,对比两组术后肺部感染率,分析痰菌培养的病原菌结果。结果研究组术后肺部感染发生率为16.46%,对照组为22.58%,研究组的痰菌培养阳性率为80.77%,对照组为74.29%,两组比较差异均无统计学意义;两组病原菌主要为铜绿假单胞菌与大肠埃希菌,其次为肺炎链球菌与金黄色葡萄球菌。结论全身麻醉方案可安全地应用于上腹部手术中,但需严格遵守预防感染的措施。OBJECTIVE To study the clinical data of the patients with postoperative pulmonary infections who un-derwent the upper abdominal surgery under general anesthesia so as to provide guidance for prevention of the infec-tions after anesthesia surgery.METHODS A total of 158 patients who received the upper abdominal surgery under general anesthesia in the hospital from Mar 2012 to Mar 2014 were assigned as the study group,meanwhile 155 patients who received abdominal epidural block surgery under general anesthesia during the same period were set as the control group;the incidence of postoperative pulmonary infections was compared between the two groups,and the results of sputum culture were analyzed.RESULTS The incidence of postoperative pulmonary infections was 16.46% in the study group,22.58% in the control group;the positive rate of the sputum culture was 80.77% in the study group,74.29% in the control group,there was no significant difference between the two groups.The Pseudomonas aeruginosa and Escherichia coli were the predominant species of pathogens isolated from the two groups,followed by the Streptococcuspneumoniae and Staphylococcusaureus.CONCLUSION It is safe to conduct the general anesthesia in the upper abdominal surgery,however,the prevention measures for infections should be strictly conformed.

关 键 词：上腹部手术 全麻 肺部感染 临床研究 

分 类 号：R563[医药卫生—呼吸系统]