摘要
目的探讨无痛胃镜术后并发呼吸道感染的发生率、影响因素及应对方法。方法收集我院行常规胃镜检查或胃镜下治疗患者共508例,采用静脉注射丙泊酚＋芬太尼进行麻醉,并记录总麻醉时间;术后随访观察呼吸道感染发生率。结果所有患者成功进行胃镜检查及治疗,术后随访发生呼吸道感染共53例,发生率10.43%;麻醉时间〈15 min组、15~30 min组、麻醉时间〉30 min组呼吸道感染发生率分别为4.26%、12.98%、31.94%;60岁以上组、60岁以下组呼吸道感染率分别为15.70%、7.74%。结论无痛胃镜能够有效地减轻患者的痛苦,但存在术后呼吸道感染的可能,操作时间越长呼吸道感染风险越高,呼吸道感染风险与年龄大小及基础病等危险因素相关。因此,可以通过控制危险因素降低无痛胃镜并发呼吸道感染的发生率。
Objective To investigate the incidence and the risk factors and response of postoperative respiratory infection in patients with anesthetic gastroscopy. Methods The clinical data of 508 patients undergoing anesthetic gastroscopy in Ningde Municipal Hospital were analyzed retrospectively according to ages, anesthesia time and the incident of respiratory infection within 3-days post operation. Results ①The postoperative complication of respiratory infection occurred in 53（10.43%） of 508 patients. ②13（4.26%） patients suffered from postoperative respiratory infection of patients with anesthesia time less than 15 min, 17（12.98%） of patients with anesthesia time from 15 to 30 min, and 23（31.94%） of patients with anesthesia time more than 30 min. ③26（7.74%） patients suffered from postoperative respiratory infection of patients with aged less than 60 years, and 27（15.70%） of patients with aged more than 60 years. Conclusion The patients with longer anesthesia time and elder-aged and accompanying diseases have more risk for respiratory infection after anesthetic gastroscopy. It is feasible to decrease risk factors so as to reduce the incidence of postoperative respiratory infection in patients with anesthetic gastroscopy.
出处
《中国医药指南》
2016年第23期11-13,共3页
Guide of China Medicine
关键词
无痛胃镜
呼吸道感染
影响因素
应对
Anesthetic gastroscopy
Respiratory infection
Risk factors
Response
