呼吸过滤器对慢性阻塞性肺病稳定期全身麻醉患者链球菌传播的阻断作用  

Blocking Effect of Respiratory Filters on Streptococcus Communication in Patients with Chronic Obstructive Pulmonary Disease during Stable Period

作　　者：李继东[1] 舒运兵[1] 杨玲[2] 杨晓慧[2] 周红[1] 罗洪英[1] 

机构地区：[1]宜宾市第三人民医院麻醉科,四川宜宾644000 [2]宜宾市第二人民医院麻醉科,四川宜宾644000

出　　处：《四川医学》2016年第12期1336-1338,共3页Sichuan Medical Journal

基　　金：宜宾市科技局重点项目(编号:2015SF033)

摘　　要：目的研究呼吸过滤器对慢性阻塞性肺病(COPD)稳定期的全身麻醉患者链球菌传播的阻断作用。方法80例COPD稳定期全身麻醉患者随机分两组,对照组不使用呼吸过滤器,观察组使用呼吸过滤器,对麻醉机螺纹管端(A面)、气管导管尖端(D面)、过滤器接气管导管面(T面)链球菌进行检测。结果观察组A面链球菌阳性率显著低于D面,差异有统计学意义(P<0.01);对照组A面链球菌培阳性率与D面差异无统计学意义(P>0.05)。结论对于慢性阻塞性肺病稳定期全身麻醉患者,呼吸过滤器能够阻断链球菌的传播。Objective To study the blocking effect of respiratory filters on the transmission of Streptococcus in patients with stable stage of chronic obstructive pulmonary disease（ COPD） during general anesthesia. Methods 80 patients with stable COPD were randomly divided into 2 groups. The control group was not used the respiratory filter,while the observation group was given the respiratory filter. The streptococcus in the end of anesthesia machine tube（ surface A）,the tracheal catheter tip（ surface D）,and the air filter tube surface（ surface T） were detected. Results The positive rate of surface D in the observation group was significantly lower than that of surface A（ P〈0.01）. In the control group,there was no significant difference in the positive rate of surface A and surface D between the two groups（ P〉0.05）. Conclusion For patients with chronic obstructive pulmonary disease in general anesthesia,respiratory filters could block the spread of Streptococcus.

关 键 词：呼吸过滤器 慢性阻塞性肺病稳定期 全身麻醉 链球菌传播 阻断作用 

分 类 号：R614[医药卫生—麻醉学]