全身麻醉患者术后呼吸道感染的相关因素分析  

Risk factors of postoperative respiratory tract infections in patients undergoing lumbar vertebra surgery under general anesthesia

作　　者：李宁[1] 张义龙[1] 赵国军[1] 宋有鑫[1] 任磊[1] 李建玲[1] 

机构地区：[1]承德医学院附属医院麻醉科,河北承德067000

出　　处：《中华医院感染学杂志》2016年第5期1116-1117,1128,共3页Chinese Journal of Nosocomiology

基　　金：河北省科技计划基金资助项目(15277767D)

摘　　要：目的探讨气管插管全身麻醉下行腰椎手术患者术后发生呼吸道感染的原因,为其临床预防治疗提供参考依据。方法连续收集2012年9月-2014年9月住院拟行气管插管全身麻醉下腰椎后路切开减压内固定椎间融合术的患者300例作为研究对象,记录其基本信息及相关病史,分析术后呼吸道感染的原因,采用SPSS 17.0软件进行数据统计分析,对危险因素应用logistic回归模型分析。结果 300例患者中发生呼吸道感染34例,发生率11.33%;多因素分析结果表明,年龄、吸烟史、既往有呼吸系统慢性感染、糖尿病、无口腔护理等因素与术后呼吸道感染有关(P<0.05)。结论气管插管全身麻醉下行腰椎手术患者,如为高龄、吸烟者,既往有慢性呼吸道感染及糖尿病史,术后发生呼吸道感染危险明显增高;术前规范进行口腔护理可以降低术后发生呼吸道感染的风险。OBJECTIVE To explore the causes for respiratory tract infections in patients undergoing lumbar vertebra surgery under general anesthesia in order to guide the clinical prevention and treatment.METHODS The continuous clinical data of 300 patients who needed lumbar vertebra surgery under general anesthesia from Sep.2012 to Sep.2014 were collected and their general information and the relative medical history were recorded,then the patients who had respiratory tract infections postoperatively were recorded and analyzed.The software SPSS 17.0 was used for statistical analysis and the risk factors were analyzed by logistic regression model.RESULTS Of 300 patients with complete data,respiratory tract infections occurred in 34 cases with the incidence rate of 11.33%.The multivariate analysis indicated that age,smoking history,history of chronic respiratory tract infections or diabetes mellitus,and absence of oral care were correlated with postoperative respiratory tract infections.CONCLUSION The risk of getting respiratory tract infections would increase if patients undergoing lumbar vertebra surgery under general anesthesia were old,or had history of smoking,chronic respiratory tract infections or diabetes mellitus,and proper measures of oral care may decrease the risk.

关 键 词：腰椎 全身麻醉 呼吸道感染 危险因素 

分 类 号：R614[医药卫生—麻醉学]