全麻手术患者围手术期感染的麻醉相关高危因素Logistic回归分析与预防措施

摘要

Objective:To investigate the cause of general surgery patients perioperative infection and related risk factors and preventive measures ,in order to prevent and reduce perioperative infections occur to provide the ref-erence .Methods:Randomly selected in general anesthesia downlink perioperative infection after surgery (control group) ,each group of 200 cases ,Logistic regression analysis was carried out on the high risk factors of anesthesia related infection and perioperative infection .Results :Patients with perioperative infection site constituent ratio :Re-spiratory infections were 52 .50% ,urinary tract infection were 31 .50% ,infection of skin mucous membrane were 5 . 50% ,digestive tract infections were 4 .50% ,the other were 6 .00% ;Infection group than the following elements :There were deep venous or arterial puncture were 18 .00% ,using repetitive endotracheal tube were 16 .50% ,had a difficult intubation were 16 .00% ,soda lime replacement number < 1 /d were 67 .00% ,Control the above factors constitute ratio :4 .00% ,7 .00% ,4 .50% ,55 .00% ,Comparative differences between the two groups had statistical significance (P< 0 .05);Conclusion :patients with general anesthesia surgery ,perioperative anesthesia related risk factors of infection occurred mainly includes the following four factors :there are deep venous or arterial puncture , use repetitive endotracheal tube ,a difficult intubation ,lime sodium replacement times < 1 /d ,in view of the above factors intervention is the main measures to prevent perioperative infection .%目的:探讨全麻手术患者围术期发生感染麻醉相关高危因素与预防措施.方法:随机选取在全麻下行手术治疗后发生围术期感染(感染组)、未发生围术期感染的患者(对照组)各200例,对感染组感染部位、围术期发生感染的麻醉相关高危因素进行Logistic回归分析.结果:患者围术期感染部位为呼吸道感染、泌尿系感染、皮肤黏膜感染、消化道感染、其他,构成比分别为52.50%、31.50%、5.50%、4.50%、6.00%;感染组患者有深静脉或动脉穿刺、使用重复性气管导管、有插管困难、钠石灰更换次数<1次/d等因素构成比为18.00%、16.50%、16.00%、67.00%,对照组以上因素构成比为4.00%、7.00%、4.50%、55.00%,两组分别比较差异具有统计学意义(P<0.05);非条件多因素Logistic回归分析结果显示有深静脉或动脉穿刺、使用重复性气管导管、有插管困难、钠石灰更换次数<1次/d四个因素是与围术期感染有关的独立危险因素(P<0.05).结论:全麻手术患者围术期感染发生的麻醉相关高危因素主要为有深静脉或动脉穿刺、使用重复性气管导管、有插管困难、钠石灰更换次数<1次/d四个因素,针对以上因素进行干预是预防围术期感染的主要措施.