摘要
目的探讨不同麻醉方案对老年择期行上腹部手术患者术后肺部感染的影响,为临床预防术后肺部感染提供基础理论。方法回顾性分析医院2012年1月-2014年1月择期行上腹部手术治疗的340例患者临床资料,根据麻醉方法不同分为A组100例、B组95例、C组145例,调查分析患者不同麻醉方法及其术后肺部感染及不同麻醉方案间相关指标比较。结果 A组:苏醒时间(14.5±6.2)min、拔管时间(22.4±11.4)min、呼吸频率(26.4±7.2)/min、血氧饱和度(89.6±1.2)%、分钟通气量(6.5±3.6)L、感染率为9.0%;B组分别为(15.3±6.9)min、(21.8±10.6)min、(27.1±7.6)/min、(90.3±1.3)%、(6.3±3.8)L、感染率为8.4%;C组:分别为(8.6±4.1)min、(12.7±7.2)min、(21.2±6.6)/min、(94.7±1.5)%、(7.7±4.2)L、感染率为2.8%,C组优于A、B组(P<0.05)。结论老年患者采用硬膜外阻滞联合静脉全麻上腹部手术,有利于患者术后早期苏醒和拔管,改善呼吸功能指标,减轻术后肺部感染的发生。
OBJECTIVE To explore the influence of different anesthesia methods on postoperative pulmonary infec-tions in the elderly patients undergoing elective abdominal surgery so as to provide theoretical basis for clinical pre -vention of postoperative pulmonary infections .METHODS The clinical data of 340 patients who underwent the elec-tive abdominal surgery in the hospital from Jan 2012 to Jan 2014 were retrospectively analyzed ,the participants were divided into the group A with 100 cases ,the group B with 95 cases ,and the group C with 145 cases accord-ing to the anesthesia method .The incidence of the postoperative pulmonary infections was observed and compared between the different anesthesia programs .RESULTS The time of recovery of consciousness was （14 .5 ± 6 .2）min in the group A ,（15 .3 ± 6 .9）min in the group B ,（8 .6 ± 4 .1）min in the group C ;the extubation time was （22 .4 ± 11 .4）min in the group A ,（21 .8 ± 10 .6）min in the group B ,（12 .7 ± 7 .2）min in the group C ;the respiratory rate was（26 .4 ± 7 .2）/min in the group A ,（27 .1 ± 7 .6）/min in the group B ,（21 .2 ± 6 .6）/min in the group C ;the blood oxygen saturation was（89 .6 ± 1 .2）% in the group A ,（90 .3 ± 1 .3）% in the group B ,（94 .7 ± 1 .5）% in the group C ;the minute ventilation was （6 .5 ± 3 .6）L in the group A ,（6 .3 ± 3 .8）L in the group B ,（7 .7 ± 4 .2）L in the group C ;the infection rate was 9 .0% in the group A ,8 .4% in the group B ,2 .8% in the group C ;the group C was superior to the group A and the group B （P〈 0 .05） .CONCLUSION The use of epidural anesthesia combined with venous general anesthesia for the abdominal surgery may facilitate the early recovery of consciousness and ex -tubation and improve the respiratory function indicators so as to reduce the incidence of postoperative pulmonary infections in the elderly patients .
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2015年第6期1393-1395,共3页
Chinese Journal of Nosocomiology
基金
浙江省中医药管理局基金资助项目(2013ZST006)
关键词
老年
麻醉
肺部感染
The elderly
Anesthesia
Pulmonary infection
