单肺通气术后患者肺部感染危险因素研究  

Rate of postoperative pulmonary infections and the risk factors for one-lung ventilation

作　　者：王君华[1] 徐琳[2] 杨丹丹[1] 刘淑霞[3] 宁秋娜[4] 

机构地区：[1]漯河医学高等专科学校基护教研室,河南漯河462002 [2]漯河医学高等专科学校外科护教研室,河南漯河462002 [3]漯河医学高等专科学校内科护教研室,河南漯河462002 [4]漯河医学高等专科学校第二附属医院内科,河南漯河462002

出　　处：《中华医院感染学杂志》2016年第5期1039-1041,共3页Chinese Journal of Nosocomiology

基　　金：河南省科技厅基金资助项目(20130976)

摘　　要：目的探讨单肺通气术后肺部感染以及导致患者术后发生肺部感染的相关危险因素,为预防单肺通气术的肺部感染提供参考依据。方法选取2012年12月-2015年4月医院临床收治并实施单肺通气术的336例患者临床资料,针对患者单肺通气术后肺部感染率及其引起术后发生肺部感染的相关危险因素进行比较研究。结果 336例单肺通气术患者中发生肺部感染113例,感染率为33.63%;男性肺部感染率高于女性,分别为41.67%与24.36%;<60岁患者肺部感染率低于≥60岁患者,分别为27.36%与44.35%;无吸烟史患者肺部感染率低于有吸烟史患者,为23.18%与42.16%;无糖尿病史患者肺部感染率低于有糖尿病史患者,为31.82%与53.57%;通气时间<1h患者肺部感染率低于通气时间≥1h患者,为25.49%与46.21%;术后气管导管留置时间<4h患者肺部感染率低于术后气管导管留置时间≥4h患者,为18.99%与38.13%,以上数据比较差异有统计学意义(P<0.05)。结论单肺通气术后患者的肺部感染率较高,引起患者出现肺部感染发生的危险因素较多,应针对相关危险因素给予患者有针对性的干预措施。OBJECTIVE To investigate the incidence of postoperative pulmonary infection and the related risk factors due to postoperative pulmonary infection for one-lung ventilation,so as to provide evidence of infection prevention practices for OLV lung surgery.METHODS A total of 336 patients of one-lung ventilation surgery from Dec.2012 to Apr.2015 in hospital were selected.The incidence of postoperative pulmonary infections and the related risk factors due to postoperative pulmonary infection for one-lung ventilation were taken for research.RESULTS In the 336 cases of one lung ventilation,there were a total of 113 cases of pulmonary infections,and the pulmonary infection rate was 33.63%.Male lung infection rate in patients was with a higher incidence than that in female patients（41.67% VS 24.36%）.The pulmonary infection rate of patients who were less than 60 years old were lower than or equal to those who were older than 60years（27.36% VS 44.35%）.The incidence of infections of patients with no smoking history was lower than those with a history of smoking（23.18% VS 42.16%）.The incidence of lung infections in patients with no history of diabetes was lower than those with a history of diabetes（31.82% VS 53.57%）.The incidence of lung infections of patients less than 1hour of the ventilation time was lower than whose who were equal to or longer than 1hour of ventilation time（25.49% VS 46.21%）.The incidence of lung infections for tracheal catheter time less than 4hwas lower than those with tracheal catheter equal to or longer than 4hours（18.99% VS 38.13 %）.The differences of the data were significant（P〈0.05）.CONCLUSIONThe incidence of lung infections of OLV patients is higher,and there are many risk factors causing lung infections.In the process of clinical practice,the targeted interventions should be administered to the patient for the risk factors.

关 键 词：单肺通气术 肺部感染 危险因素 

分 类 号：R563.1[医药卫生—呼吸系统]