腹部手术后并发肺部感染的危险因素分析及防治策略  

Analysis on the risk factors of complicated lung infection after abdominal operation and relevant strategies for prevention and treatment

作　　者：谭麟[1] 吕丹[2] TAN Lin LV Dan(Department of Gastroenterology, Affiliated Hospital of Ningbo University Medical College, Ningbo 315020, China Department of Respiratory Medicine, Affiliated Hospital of Ningbo University Medical College, Ningbo 315020, China)

机构地区：[1]宁波大学医学院附属医院胃肠外科,浙江宁波315020 [2]宁波大学医学院附属医院呼吸内科,浙江宁波315020

出　　处：《中国现代医生》2017年第32期63-65,69,共4页China Modern Doctor

基　　金：浙江省宁波市医学科技计划项目(2013A19)

摘　　要：目的分析腹部术后并发肺部感染的危险因素,探讨防治策略。方法将2015年12月~2016年12月的80例腹部术后肺部感染患者作为观察组,选择同期未发生腹部术后感染的80例患者作为对照组,使用SPSS17.0统计软件对数据进行统计分析,探讨腹部术后感染的危险因素。结果观察组肥胖37例,占46.25%;气管插管全身麻醉38例,占47.50%;留置引流管55例,占68.75%;呼吸道疾病43例,占53.75%;吸烟史46例,占57.50%;年龄≥60岁48例,占60.00%。上述结果与对照组比较,差异有统计学意义(P<0.01)。结论腹部术后肺部感染与肥胖、年龄、全身麻醉、留置引流管、吸烟、慢性呼吸道疾病等因素相关。因此应积极预防,降低感染率,减轻患者经济负担。Objective To analyze the risk factors of complicated lung infection after abdominal operation, and to inves- tigate the strategies for prevention and treatment. Methods A total of 80 patients complicated with lung infection after abdominal operation from December 2015 to December 2016 were selected as the observation group. A total of 80 patients without lung infection after abdominal operation during the same period were selected as the control group. Statistical analysis was carried out. SPSS17.0 was used to statistically analyze the collected data, and risk factors of infection after abdominal operation were investigated. Results There were 37 patients with obesity in the observation group, accounting for 46.25%; 38 patients undergoing tracheal intubation under general anesthesia; accounting for 47.50%, 55 patients undergoing drainage tube placement, accounting for 68.75%; 43 patients with respiratory tract diseases, accounting for 53.75%; and 46 patients with smoking history, accounting for 57.50%; 48 patients ≥60 years, accounting for 60.00%. Compared with the control group, all the differences were statistically significant （P〈0.01）. Conclusion Lung infection after abdominal operation is correlated with obesity, age, general anesthesia, drainage tube placement, smoking, chronic respiratory tract diseases and other factors. Therefore, prevention should be carried out proactively, so as to reduce the infection rate and lessen the economic burden of the patients.

关 键 词：腹部手术后 肺部感染 相关因素 防治策略 

分 类 号：R735.1[医药卫生—肿瘤] R563.1[医药卫生—临床医学]