胸外科手术后肺部感染危险因素分析  

Analysis on Pulmonary Infection Risk Factors after Thoracic Surgery

作　　者：吴科杰[1] 方万强[1] 戚雅秀[1] 付春利[1] 

机构地区：[1]广东省开平市中心医院,广东开平529300

出　　处：《临床医学工程》2017年第1期140-141,共2页Clinical Medicine & Engineering

摘　　要：目的研究进行胸外科手术的患者术后发生肺部感染的危险因素。方法选取我院2014年1月至2016年6月收治的65例胸外科手术患者,根据患者出院前肺部感染情况分为A组(患有肺部感染)和B组(未患有肺部感染)。所有患者均为近期进行胸外科手术。对比两组患者一般资料中存在差异的项,采用Logistic回归分析肺部感染的影响因素。结果A组为19例(29.23%),B组为46例(70.77%),两组患者的通气方式、吸烟史、机械通气时间和麻醉药吸入比较差异均有统计学意义(P<0.05)。Logistic回归分析显示,通气方式、吸烟史、机械通气时间和麻醉药吸入均是肺部感染的相关因素。结论在临床胸外科手术中,应尽量缩短机械通气时间,尽量不选择吸入麻醉,优先选择单侧肺部通气,术前应戒烟,医护人员应做好围手术期护理,以减少患者肺部感染。Objective To study the postoperative pulmonary infection risk factors in patients after thoracic surgery. Methods 65cases of patients with thoracic surgery admitted to our hospital from January 2014 to June 2016 were selected and divided into group A （withpulmonary infection） and group B （without pulmonary infection） according to patients＇ pulmonary infection conditions before leavinghospital. All patients were recently given thoracic surgery. The difference items of patients＇ general data were compared between two groups,and the factors that influenced pulmonary infection were analyzed by Logistic regression. Results The results showed 19 patients （29.23%）in group A and 46 patients （70.77%） in group B. The ventilation modes, smoking history, mechanical ventilation time and inhaled anesthesiahad statistical difference between two groups （P 〈0.05）. Logistic regression analysis showed that ventilation modes, smoking history,mechanical ventilation time and inhaled anesthesia were relative factors of pulmonary infection. Conclusions Clinical thoracic surgery needsreducing mechanical ventilation time as short as possible, not choosing inhaled anesthesia, prefering unilateral lung ventilation, no smokingbefore surgery, and better perioperative nursing, so as to reduce pulmonary infection in patients.

关 键 词：危险因素 胸外科手术 肺部感染 

分 类 号：R619[医药卫生—外科学]