CAJ | 학술논문

目的：探讨全身麻醉术后感染患者的危险因素，为临床诊治提供参考依据。方法选取2011年1月－2015年1月全身麻醉患者325例，对其发生感染相关因素进行单因素及多因素回归分析，使用统计软件 SPSS 21．0进行分析，对麻醉相关因素实施多因素 logistic回归分析。结果325例全身麻醉患者发生感染28例，感染率8．62％；麻醉时间≥3 h、复用式过滤器、普通喉镜消毒方式、非每日更换钠石灰是全麻术后发生感染的独立危险因素（P＜0．05）。结论全麻术后感染危险因素较多，临床应针对性进行干预，降低感染率。
목적：탐토전신마취술후감염환자적위험인소，위림상진치제공삼고의거。방법선취2011년1월－2015년1월전신마취환자325례，대기발생감염상관인소진행단인소급다인소회귀분석，사용통계연건 SPSS 21．0진행분석，대마취상관인소실시다인소 logistic회귀분석。결과325례전신마취환자발생감염28례，감염솔8．62％；마취시간≥3 h、복용식과려기、보통후경소독방식、비매일경환납석회시전마술후발생감염적독립위험인소（P＜0．05）。결론전마술후감염위험인소교다，림상응침대성진행간예，강저감염솔。
OBJECTIVE To explore the risk factors for postoperative infections in the patients undergoing general anesthesia so as to provide guidance for clinical diagnosis and treatment .METHODS A total of 325 patients who underwent the general anesthesia from Jan 2011 to Jan 2015 were enrolled in the study ,then the related factors for the infections were observed by means of univariate analysis and multivariate regression analysis .The statistical a‐nalysis was performed with the use of SPSS 21 .0 software ,and the multivariate logistic regression analysis was carried out for the anesthesia‐associated factors .RESULTS The infections occurred in 28 of 325 patients undergoing the general anesthesia ,with the infection rate of 8 .62% .The anesthesia time no less than 3 hours ,recycled filter , conventional disinfection of laryngoscope ,and non‐daily replacement of soda lime were the independent risk factors for the postoperative infections (P<0 .05) .CONCLUSION There are a variety of risk factors for the postoperative infections in the patients undergoing general anesthesia .It is necessary for the hospital to take targeted interven‐tions so as to reduce the infection rate .