摘要
目的观察麻醉后呼吸道感染患者的临床特征,为临床预防治疗提供依据。方法回顾性分析医院2009年3月-2010年9月手术麻醉后呼吸道感染患者的病例资料。结果根据麻醉方式的不同分为全身麻醉、局部浸润麻醉、神经阻滞椎管麻醉,其中全身麻醉术后呼吸道感染占58.1%,局部浸润麻醉呼吸道感染占14.0%,神经阻滞椎管麻醉呼吸道感染占27.9%;呼吸道感染发生率由高至低依次为神经外科、心外科、骨科、肝胆外科、消化外科,分别占47.7%、22.1%、19.8%、5.8%、4.6%;以>60岁老年人呼吸道感染发生率较高,占41.8%,其次为50～59岁老年人,占19.8%。结论高龄、全身麻醉患者术后易引发呼吸道感染,针对其发生因素进行防治对降低麻醉后引发呼吸道感染具有重要作用。
OBJECTIVE To observe the clinical characteristics of the patients with respiratory tract infections after anesthesia and provide basis for clinical prevention and treatment.METHODS A retrospective analysis of the clinical data of the patients with respiratory tract infections after anesthesia from Mar 2009 to Sep 2010 was performed.RESULTS Those subjects were divided into the general anesthesia,local infiltration anesthesia and spinal nerve block anesthesia according to the types of anesthesia,the patients with respiratory tract infection accounted for 58.1%,14.0% after local infiltration anesthesia,27.9% spinal nerve block anesthesia;the incidence rates of respiratory tract infections were 47.7% in neurosurgery department,22.1% in heart surgery department,19.8% in department of orthopedics surgery,5.8% in department of hepatobiliary surgery,and 4.6% in department of digestive surgery;the incidence of respiratory tract infections in the elderly patients of 60 years of age or older was 41.8%,followed by the elderly patients aged between 50 and 59 years old,accounting for 19.8%.CONCLUSION The advanced age and general anesthesia are susceptible factors for respiratory tract infections,to perform the prevention in accordance with predisposing factors plays an important role in reducing respiratory tract infections.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2012年第8期1585-1586,共2页
Chinese Journal of Nosocomiology
关键词
麻醉
呼吸道感染
临床分析
Anesthesia
Respiratory tract infection
Clinical analysis
