CAJ | 학술논문

目的：分析不同麻醉方式与老年骨科患者术手并发下呼吸道感染的相关性。方法对445例不同麻醉方式的老年骨科患者术后下呼吸道感染发生情况进行回顾性分析。结果169例气管插管全身麻醉组感染发生率为23．08％，173例椎管内麻醉组感染发生率为12．14％，103例神经阻滞麻醉组感染发生率为4．85％，三组感染率差异有统计学意义（χ2＝13．784，P＝0．001）。结论气管插管全身麻醉术后下呼吸道感染率较高。
목적：분석불동마취방식여노년골과환자술수병발하호흡도감염적상관성。방법대445례불동마취방식적노년골과환자술후하호흡도감염발생정황진행회고성분석。결과169례기관삽관전신마취조감염발생솔위23．08％，173례추관내마취조감염발생솔위12．14％，103례신경조체마취조감염발생솔위4．85％，삼조감염솔차이유통계학의의（χ2＝13．784，P＝0．001）。결론기관삽관전신마취술후하호흡도감염솔교고。
Objective To investigate the effects of different types of anesthesia on the incidence rates of low-er respiratory tract infections of elderly patients in orthopedic department.Methods Clinical data from 445 elderly patients in orthopedic department were collected and retrospectively analyzed.We also investigated the relationship be-tween the types of anesthesia and the lower respiratory tract infections.Results The incidence rates of lower respira-tory tract infections were 23.08%in 169 cases,12.14%in 173 cases,and 4.85%in 103 cases after general anesthe-sia with tracheal intubation,intraspinal anesthesia,and nerve blocking anesthesia,respectively.There was statistically significant difference in the infection rates among the three groups (χ2 =13.784,P=0.001).Conclusion Different ways of anesthesia is critically correlated with the incidence of the lower respiratory tract infections in elderly patients.