主动脉夹层患者术后并发肺部感染的危险因素分析  

Risk Factors of Postoperative Pulmonary Infection in Patients with Aortic Dissection

作　　者：廖颖 LIAO Ying(Ganzhou People’s Hospital,Jiangxi Province,Ganzhou 341000,China)

机构地区：[1]江西省赣州市人民医院,江西赣州341000

出　　处：《中国医学创新》2022年第13期123-127,共5页Medical Innovation of China

摘　　要：目的:探讨主动脉夹层(AD)患者术后并发肺部感染的危险因素。方法:采用便利抽样方式选择2020年1月-2021年7月在赣州市人民医院行手术治疗的86例AD患者为研究对象。分析AD患者术后并发肺部感染的危险因素。结果:86例AD患者中术后并发肺部感染27例(31.40%);单因素分析显示,并发肺部感染组与未并发肺部感染组在年龄、吸烟史、术前心功能分级、糖尿病、呼吸机使用时间、手术时间方面比较,差异均有统计学意义(P<0.05);两组在体重指数、饮酒史、性别、高血压、冠心病、发病至手术时间方面比较,差异均无统计学意义(P>0.05);多因素分析显示,年龄≥60岁[OR=6.429,95%CI(2.365,17.475)]、吸烟史[OR=17.150,95%CI(5.518,53.298)]、术前心功能分级≥Ⅲ级[OR=3.076,95%CI(1.195,7.919)]、糖尿病[OR=9.406,95%CI(3.215,27.521)]、呼吸机使用时间≥5 h[OR=17.233,95%CI(5.404,54.953)]、手术时间≥3 h[OR=11.250,95%CI(3.791,33.381)]均为AD患者术后并发肺部感染的危险因素(P<0.05)。结论:AD患者术后并发肺部感染与年龄、吸烟史、术前心功能分级、糖尿病、呼吸机使用时间及手术时间有关。Objective:To explore the risk factors of postoperative pulmonary infection in patients with aortic dissection(AD).Method:A total of 86 patients with AD who underwent surgery in Ganzhou People’s Hospital from January 2020 to July 2021 were selected by convenient sampling.The risk factors of postoperative pulmonary infection in patients with AD were analyzed.Result:Among 86 patients with AD,there were 27 patients(31.40%)complicated with lung infection after operation.Univariate analysis showed that there were significant differences in age,smoking history,preoperative cardiac function classification,diabetes,use time of ventilator and operation time between pulmonary infection group and non-pulmonary infection group(P<0.05);there were no significant differences in body mass index,drinking history,gender,hypertension,coronary heart disease and the time from onset to operation between the two groups(P>0.05);multivariate analysis showed that age≥60 years old[OR=6.429,95%CI(2.365,17.475)],smoking history[OR=17.150,95%CI(5.518,53.298)],preoperative cardiac function classification≥gradeⅢ[OR=3.076,95%CI(1.195,7.919)],diabetes[OR=9.406,95%CI(3.215,27.521)],use time of ventilator≥5 h[OR=17.233,95%CI(5.404,54.953)],operation time≥3 h[OR=11.250,95%CI(3.791,33.381)]were risk factors for postoperative pulmonary infection in patients with AD(P<0.05).Conclusion:Postoperative pulmonary infection in patients with AD is related to age,smoking history,preoperative cardiac function classification,diabetes,use time of ventilator and operation time.

关 键 词：主动脉夹层 肺部感染 危险因素 

分 类 号：R473.6[医药卫生—护理学]