摘要
目的探讨胸腔镜下纵膈肿瘤切除术患者术后肺部感染危险因素及干预措施。方法回顾性分析2016年6月~2017年6月在该院行胸腔镜下纵膈肿瘤切除术的128例患者的临床资料,分析患者术后呼吸道感染发生情况及相关危险因素,并制定干预措施。结果128例胸腔镜下纵膈肿瘤切除术患者术后肺部感染发生率为20.31%(26/128)。经logistic多因素分析显示,年龄>60岁、淋巴结清扫、术前合并糖尿病、胸腔引流留置时间>3d、术后创口污染均是胸腔镜下纵膈肿瘤切除术患者术后肺部感染发生的独立危险因素(均P<0.05),而术前预防应用抗生素、术前咳痰排痰训练则均是保护因素(均P<0.05)。结论影响胸腔镜下纵膈肿瘤切除术患者术后肺部感染危险因素较多,术前预防应用抗生素、术前咳痰排痰训练将有助于预防及降低患者术后肺部感染的发生。
Objective To investigate the risk factors and intervention measures of pulmonary infection after thoracoscopic mediastinal tumor resection. Methods The clinical data of 128 patients who underwent thoracoscopic mediastinal tumor resection in this hospital from June 2016 to June 2017 were retrospectively analyzed, and the incidence of postoperative respiratory tract infection and related risk factors were analyzed, and intervention measures were formulated. Results The incidence of postoperative pulmonary infection was 20.31% in 128 patients with mediastinal tumor resection under thoracoscopy (26/128). Logistic multivariate analysis showed that age over 60, lymph node dissection, preoperative diabetes mellitus, thoracic drainage indwelling time over 3 days, and postoperative wound contamination were all independent risk factors for postoperative pulmonary infection in patients undergoing thoracoscopic mediastinal tumor resection(P<0.05). Preoperative antibiotic prophylaxis and expectoration training were protective factors(P<0.05). Conclusions There are many risk factors for postoperative pulmonary infection in patients undergoing thoracoscopic mediastinal tumor resection, and the preoperative preventive application of antibiotics and the preoperative sputum expectoration and discharge training will help to prevent and reduce the incidence of postoperative pulmonary infection.
作者
王明欢
王君慧
夏莹
Wang Minghuan;Wang Junhui;Xia Ying(Department of Thyroid and Breast Surgery,Tongji Hospital Affiliated to Tongfi Medical College of Huazhong University of Science and Technology,Hubei City of Wuhan Province 430030,China;Department of Thoracic Surgery,Tongji Hospital Affiliated to Tongji Medical College of Huazhong University of Science and Technology,Hubei City of Wuhan Province 430030,China)
出处
《国际护理学杂志》
2019年第4期472-476,共5页
international journal of nursing
关键词
胸腔镜
纵膈肿瘤切除术
术后肺部感染
危险因素
Thoracoscopy
Mediastinal tumor resection
Postoperative pulmonary infection
Risk factors
作者简介
通信作者:夏莹,E-mail:401636763@qq.com.
