胸外科手术后医院获得性肺炎危险因素分析

摘要

Objective To analyze the hospital-acquired pneumonia-related risk factors in postthoracic surgery. Methods Selected 200 cases of thoracic surgery ambulatory surgery patients in our hospital from April 2013 to April 2015 admitted to the investigation of hospital-acquired pneumonia,and analyzed risk factors. Results Long-term heavy smoking history,postoperative wound pain significantly,emphysema,chronic bronchitis and a history of intubation/mechanical ventilation,as risk factors,OR values were 1.887,4.598,2.496,2.328,P< 0.05. Conclusion Series of risk factors for hospital-acquired pneumonia occurred after the induction of thoracic surgery at the expanded analysis,and targeted prevention,can reduce the incidence of adverse events,clinical safety significance of the safeguards significantly.%目的：探讨胸外科手术后引发医院获得性肺炎的相关危险因素。方法选取我院2013年4月～2015年4月收治的200例胸外科住院手术的患者，调查医院获得性肺炎发生情况，并分析危险因素。结果长期大量吸烟史、术后切口疼痛、慢支肺气肿病史、气管插管/机械通气为危险因素，OR值分别为1.887，4.598，2.496，2.328，P均<0.05。结论针对诱导胸处科手术后发生医院获得性肺炎的系列危险因素展开分析，并针对性防范，可降低不良事件的发生。