摘要
目的观察分析患者气管插管全麻术后出现肺部感染的危险因素,进一步减少气管插管全身麻醉患者术后肺炎发生率。方法选取2014-07-02-2019-07-16辽宁省健康产业集团抚矿总医院行气管插管全麻术后的1010例患者为研究对象,其中62例肺部感染患者作为观察组(给予相应临床治疗),以术后未发生肺部感染患者为对照组,观察与肺部感染相关因素并进行分析,并通过多因素Logistic回归分析对相关危险因素进行评价。结果1010例患者中62例发生肺部感染,感染发生率6.03%。男性感染率略高于女性,但差异无统计学意义,P>0.05。单因素分析结果表明,拔管时间、插管深度、插管部位、插管途径、麻醉时间、合并基础疾病、吸烟史、年龄与发生肺部感染密切相关,均P<0.05;多因素Logistic回归分析结果表明,年龄≥50岁、麻醉时间>3h、经口插管、明视、深度偏浅和正常拔管可增加肺部感染的危险性,均P<0.05。结论临床患者行气管插管全麻术后,会明显增加肺部感染的发生率,拔管时间、插管深度、插管部位、插管途径、麻醉时间、年龄是肺部感染的影响因素。
Objective To observe the risk factors of pulmonary infection after tracheal intubation general anesthesia,and provided theoretical basis for reducing the incidence of postoperative infection in clinical patients.Methods Totally 1010 patients after general anesthesia for tracheal intubation were selected from July 2,2014 to July 16,2019 in our hospital as the research object,including 62 patients with pulmonary infection as the observation group(given the corresponding clinical treatment),and the patients without pulmonary infection as the control group,the related factors of pulmonary infection were observed and analyzed,and the related risk was analyzed by multivariate Logistic regression analysis.Result Univariate analysis showed that extubation time,intubation depth,intubation site,intubation route,anesthesia time,combined with basic diseases,smoking history and age were associated with the incidence of lung(P<0.05).The results of multivariate Logistic regression analysis showed that extubation time,intubation depth,intubation site,intubation route,anesthesia time and age were independent risk factors for pulmonary infection(P<0.05).Conclusions In clinical patients undergoing tracheal intubation under general anesthesia,the incidence of pulmonary infection will be significantly increased.Therefore,the occurrence of risk factors should be strictly controlled during clinical treatment,and the influence of the above risk factors on the disease should be paid more attention to reduce the risk of pulmonary infection.
作者
崔东海
韩景田
金刚
CUI Dong-hai;HAN Jing-tian;JIN Gang(Department of Anesthesiology,Liaoning Health Industry Group Fujing General Hospital,Fushun 113005,China)
出处
《社区医学杂志》
CAS
2021年第6期353-355,共3页
Journal Of Community Medicine
关键词
气管插管全身麻醉
危险因素
影响因素
肺部感染
general anesthesia with tracheal intubation
risk factors
influencing factors
pulmonary infection
作者简介
通信作者:崔东海,女,朝鲜族,辽宁抚顺人,硕士,副主任医师,主要从事麻醉学的临床研究工作。E-mail:cuidonghai1982@163.com
