摘要
目的探讨不同麻醉方法对脑外伤气管切开患者术后呼吸道感染影响,为降低医院感染率提供依据。方法回顾性分析2011年2月-2014年12月医院300例脑外伤接受气管切开术患者临床资料,将其随机分为对照组和观察组,各150例,对照组采取全身麻醉,观察组采用局部麻醉,对比分析两组患者术后呼吸道感染率,结果采用χ2检验及t检验进行统计分析。结果呼吸道感染率对照组为26.00%、观察组为16.67%,两组比较差异有统计学意义(χ2=3.8930,P<0.05);对照组共检出病原菌163株,其中革兰阴性菌、革兰阳性菌、真菌分别占66.26%、30.67%、3.07%,观察组共检出病原菌129株,其中革兰阴性菌、革兰阳性菌、真菌分别占69.77%、25.58%、4.65%。结论不同麻醉方法与脑外伤患者气管切开术后呼吸道感染相关,应采取针对性护理干预,以降低感染率。
OBJECTIVE To explore the effect of different methods on postoperative respiratory infections in patients after tracheal incision ,so as to provide the basis for reducing hospital infection rates .METHODS A total of 300 ca‐ses of patients with brain trauma and tracheal incision from Feb .2011 to Dec .2014 in our hospital were retrospec‐tive analyzed and randomly divided into control group and observation group with 150 cases in each group .Patients in the control group received general anesthesia ,and patients in the observation group were given local anesthesia . Respiratory tract infection rates after surgeries were comparatively analyzed in two groups .The results were sta‐tistically analyzed by χ2 test and t test .RESULTS Totally 39 cases of patients were infected in control group and the infection rate was 26 .00% ;while 25 cases of patients were infected in the observation group and the infection rate was 16 .67% .The difference was significant （χ2 =3 .8930 , P〈0 .05） .A total of 163 strains of pathogens were found in the control group ,including 108 strains of gram‐negative bacteria ,accounting for 66 .26% ,50 strains of gram‐positive bacteria which accounted for 30 .67% ,and 5 strains of fungi accounting for 3 .07% ;and 129 strains of pathogens were detected in the observation group ,including 90 strains of gram‐negative bacteria ac‐counting for 69 .77% ,33 strains of gram‐positive bacteria ,accounting for 25 .58% ,6 strains of fungi accounting for 4 .65% .CONCLUSION It showed that the postoperative respiratory infection in brain trauma patients after tra‐cheal incision is related to different methods of anesthesia .We should take appropriate nursing interventions to re‐duce infection rates .
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2015年第20期4728-4730,共3页
Chinese Journal of Nosocomiology
基金
国家自然科学基金资助项目(30470877)
关键词
麻醉
护理干预
脑外伤
呼吸道感染
气管切开术
Anesthesia
Nursing interventions
Traumatic brain injury
Respiratory infections
Tracheotomy
