不同麻醉方式与下呼吸道感染的关系.pdf

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1、·1582·中华医院感染学杂志2013年第23卷第7期ChinJNosocomiolVo1．23No．72013论著不同麻醉方式与下呼吸道感染的关系徐恒艺，王钱荣，姚煜明(湖州市中心医院麻醉科，浙江湖州313000)摘要：目的探讨不同麻醉方式与下呼吸道感染的相关性，通过减少全身麻醉以降低下呼吸道感染率，为提高临床麻醉质量提供指导。方法回顾性分析2267例妇科手术患者，制定统一调查表格，分析麻醉方式与下呼吸道感染的关系及病原菌特点。结果发生下呼吸道感染共52例，感染率为2．29；气管内插管全麻的下呼吸道感染率为2．76，明显高于硬膜外麻醉和腰硬联合麻醉的0．61和0．99，

2、差异均有统计学意义(P

3、1．32文献标识码：A文章编号：1005—4529(20i3)07—1582—02RelationshipbetweentypesofanesthesiaandlowerrespiratorytractinfectionsxuHeng—yi，WANGQian—rong。YAOYu—ming(HuzhouCentralHospital，Huzhou，Zhejiang313000，China)Abstract：OBJECTIVETodiscusstherelationshipbetweenthedifferenttypesofanesthesiaandthelowerresp

4、iratorytractinfectionssoastoreducetheincidenceofthelowerrespiratorytractinfectionsandimprovethequalityoftheclinicalanesthesia．METHODSTheclinicaldataof2267casesofpatientswhounderwentthecesareandeliverywerestudiedretrospectively．Therelationshipbetweenthetypesofanesthesiaandthelowerrespirato

5、rytractinfectionsandthepathogenfeatureswereinvestigatedbytheunifiedsurvey．RESULTSThelowerrespiratorytractinfectionsoccurredin52caseswiththeinfectionrateof2．29．Theincidenceofthelowerrespiratorytractinfectionsunderthegeneralanesthesiaofendotrachealintubationwas2．76，significantlyhigherthan0．

6、61undertheepiduralanesthesiaand0．99underthecombinedspinalandepiduralanesthesia。thedifferencewasstatisticallysignificant(P

7、tionswas4．O8inthepatientswiththeoperationdurationmorethan2hours，1．63inthepatientswiththeoperationdurationlessthan2hours，thedifferencewasstatisticallysignificant(P<0．05)．Theincidenceoftheinfectionswas1．82inthepatientswiththeASAofI，3．11inthepatientswiththeASAoflI，and5