摘要
目的分析气管插管与喉罩两种麻醉方式对日间手术患者术后肺部感染的影响,为日间手术选择合适的气道支持方式提供依据。方法收集医院2015年1月-2016年6月期间医院收治的日间手术患者2 783例,根据手术采用的麻醉方式不同将患者分为气管插管组1 273例和喉罩组1 510例;比较两组患者肺部感染率、延迟出院率、手术时间、术中出血量、中转开腹手术率、术后并发症、术后6h出院总评分和非计划再住院等相关指标。结果喉罩组患者肺部感染率和延迟出院率分别为2.05%和3.18%,低于气管插管组的3.85%和4.87%(P<0.05);喉罩组患者术后6h出院总评分为(8.92±0.42)分,显著高于气管插管组的(8.85±0.47)分(P<0.05);喉罩组患者恶心、呕吐发生率为3.44%,低于气管插管组的7.31%(P<0.05);两组患者手术时间、术中出血量及中转开腹手术、术后疼痛、皮肤过敏和寒战等发生率差异无统计学意义。结论喉罩有助于降低日间手术患者术后肺部感染率和延迟出院率。
OBJECTIVE To observe the influence of tracheal intubation anesthesia and laryngeal mask anesthesia on postoperative pulmonary infection in ambulatory surgery patients so as to choose the appropriate airway support approach for the ambulatory surgery.METHODS A total of 2 783 patients who received the ambulatory surgery in hospitals from Jan 2015 to Jun 2016 were enrolled in the study and divided into the tracheal intubation group with 1 273 cases and the laryngeal mask group with 1 510 cases according to the anesthesia approach.The incidence rate of pulmonary infection, rate of delayed discharge, operation duration, intraoperative blood loss volume, rate of conversion to laparotomy, postoperative complications, total score of discharge 6 hours after surgery and non- planed readmission were observed and compared between the two groups of patients.RESULTS The incidence rate of pulmonary infection of the laryngeal mask group was 2.05 %, significantly lower than 3.85 % of the tracheal in- tubation group; the rate of delayed discharge of the laryngeal mask group was 3.18%, significantly lower than 4.87 % of the tracheal intuhation group（P〈0.05）.The total score of discharge 6 hours after surgery was 8.92 ±0.42 in the laryngeal mask group, significantly higher than 8.85±0.47 in the tracheal intubation group（P〈0.05）. The incidence rate of nausea and vomiting was 3.44 % in the laryngeal mask group, significantly lower than 7.31% in the tracheal intubation group（P〈0.05）.There was no significant difference in the operation duration, intraoper-ative blood loss volume, rate of conversion to laparotomy or incidence rate of postoperative pain, skin allergy or chills between the two groups of patients.CONCLUSION cidence rate of postoperative pulmonary infections in the charge. The laryngeal mask anesthesia may help to reduce the in ambulatory surgery patients and the rate of delayed discharge.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2018年第1期110-113,共4页
Chinese Journal of Nosocomiology
基金
国家自然科学基金资助项目(81341035)
浙江省自然科学基金资助项目(LY16H090016)
关键词
气管插管
喉罩
日间手术
肺部感染
Tracheal intubation
Laryngeal mask
Ambulatory surgery
Pulmonary infection
