医学临床研究
醫學臨床研究
의학림상연구
JOURNAL OF CLINICAL RESEARCH
2014年
4期
759-760,761
,共3页
急腹症/外科学%肺炎/病因学%手术后并发症%危险因素%老年人
急腹癥/外科學%肺炎/病因學%手術後併髮癥%危險因素%老年人
급복증/외과학%폐염/병인학%수술후병발증%위험인소%노년인
Abdomen,Acute/SU%Pneumonia/ET%Postoperative Complications%Risk Factors%Aged
【目的】观察老年急腹症患者术后肺部感染的发生情况，并分析其相关危险因素，以期有效降低老年急腹症患者术后肺部感染的发生率。【方法】回顾性分析114例经手术治疗的老年急腹症患者，统计术后肺部感染的发生率，相关因素分析采用单因素χ2检验和多因素Logistic回归分析。【结果】114例患者中共发生肺部感染30例，发生率为26．32％（30/114）。多因素Logistic检验显示肺部感染危险因素有年龄（OR＝2．356，95％CI1．845～3．009）、合并肺部疾病（OR＝3．526，95％CI2．346～5．300）、全身麻醉（OR＝3．410，95％CI2．469～4．710）、自主排痰（OR＝0．472，95％CI0．335～0．665）、人工排痰（OR＝0．503，95％CI0．394～0．642）、口腔清理（OR＝0．481，95％CI0．369～0．627）、贫血（OR＝1．821，95％CI1．632～2．032）、免疫功能差（OR＝2．526，95％CI1．887～3．381）和住院时间（OR＝1．793，95％CI1．421～2．262）。【结论】老年急腹症患者术后肺部感染的发生率很高，并且与多种因素有关，应根据相关危险因素加强围手术期的预防、治疗和护理工作。
【目的】觀察老年急腹癥患者術後肺部感染的髮生情況，併分析其相關危險因素，以期有效降低老年急腹癥患者術後肺部感染的髮生率。【方法】迴顧性分析114例經手術治療的老年急腹癥患者，統計術後肺部感染的髮生率，相關因素分析採用單因素χ2檢驗和多因素Logistic迴歸分析。【結果】114例患者中共髮生肺部感染30例，髮生率為26．32％（30/114）。多因素Logistic檢驗顯示肺部感染危險因素有年齡（OR＝2．356，95％CI1．845～3．009）、閤併肺部疾病（OR＝3．526，95％CI2．346～5．300）、全身痳醉（OR＝3．410，95％CI2．469～4．710）、自主排痰（OR＝0．472，95％CI0．335～0．665）、人工排痰（OR＝0．503，95％CI0．394～0．642）、口腔清理（OR＝0．481，95％CI0．369～0．627）、貧血（OR＝1．821，95％CI1．632～2．032）、免疫功能差（OR＝2．526，95％CI1．887～3．381）和住院時間（OR＝1．793，95％CI1．421～2．262）。【結論】老年急腹癥患者術後肺部感染的髮生率很高，併且與多種因素有關，應根據相關危險因素加彊圍手術期的預防、治療和護理工作。
【목적】관찰노년급복증환자술후폐부감염적발생정황，병분석기상관위험인소，이기유효강저노년급복증환자술후폐부감염적발생솔。【방법】회고성분석114례경수술치료적노년급복증환자，통계술후폐부감염적발생솔，상관인소분석채용단인소χ2검험화다인소Logistic회귀분석。【결과】114례환자중공발생폐부감염30례，발생솔위26．32％（30/114）。다인소Logistic검험현시폐부감염위험인소유년령（OR＝2．356，95％CI1．845～3．009）、합병폐부질병（OR＝3．526，95％CI2．346～5．300）、전신마취（OR＝3．410，95％CI2．469～4．710）、자주배담（OR＝0．472，95％CI0．335～0．665）、인공배담（OR＝0．503，95％CI0．394～0．642）、구강청리（OR＝0．481，95％CI0．369～0．627）、빈혈（OR＝1．821，95％CI1．632～2．032）、면역공능차（OR＝2．526，95％CI1．887～3．381）화주원시간（OR＝1．793，95％CI1．421～2．262）。【결론】노년급복증환자술후폐부감염적발생솔흔고，병차여다충인소유관，응근거상관위험인소가강위수술기적예방、치료화호리공작。
[Objective] To observe the incidence of postoperative pulmonary infection in senile acute abdomen and to analyze the associated risk factors in order to reduce the incidence of postoperative pulmonary infection in se-nile acute abdomen .[Methods]Totally 114 senile patients with acute abdomen undergoing surgery were analyzed respectively .The incidence of postoperative pulmonary infection was calculated .The associated risk factors were tested by single factor χ2 test and multi-factor Logistic regression analysis .[Results] Among the 114 patients ,30 patients had postoperative pulmonary infection ,and the incidence rate was 26 .32% .The multi-factor Logistic test showed that age(OR= 2 .356 ,95% CI 1 .845~3 .009) ,the combined pulmonary diseases(OR= 3 .526 ,95% CI 2 .346~5 .300) ,general anesthesia(OR= 3 .410 ,95% CI 2 .469~ 4 .710) ,sputum excretion by oneself (OR=0 .472 ,95% CI 0 .335~0 .665) ,sputum excretion by others (OR=0 .503 ,95% CI 0 .394~0 .642) ,mouth clean (OR=0 .481 ,95% CI 0 .369~0 .627) ,anemia(OR=1 .821 ,95% CI 1 .632~2 .032) ,poor immune function(OR=2 .526 ,95% CI 1 .887~3 .381) and hospital stay (OR=1 .793 ,95% CI 1 .421~2 .262) were the risk factors for postoperative pulmonary infection .[Conclusion] The incidence of postoperative pulmonary infection is high in eld-erly patients with acute abdomen ,and is associated with a variety of factors .On the basis of the relevant risk fac-tors ,the prevention ,treatment and nursing during the operation should be strengthened .
