CAJ | 학술논문

目的：探讨肺癌患者手术后下呼吸道医院感染与麻醉相关因素，为降低肺癌术后医院感染发生率提供依据。方法回顾性分析2009年12月－2013年12月收治的86例肺癌患者临床资料，观察患者住院医院感染发生率，并对发生感染的相关因素进行分析，按照患者术后是否采用镇痛，将患者分为术后镇痛组54例和非镇痛组32例，观察术后采用镇痛与下呼吸道感染的相关性。结果86例患者发生医院感染12例，发生率为13．95％，其中切口感染2例占16．67％、泌尿道感染1例占8．33％、下呼吸道感染9例占75．00％；术后非镇痛组患者发生感染9例，发生率为28．13％，镇痛组患者发生感染3例，发生率为5．56％，两组患者感染发生率相比，差异有统计学意义（P＜0．05）；且患者术后采用镇痛泵后镇痛效果显著优于未使用镇痛泵组，两组相比，差异有统计学意义（P＜0．05）。结论肺癌患者术后下呼吸道感染发生率较高，且与患者术后是否使用镇痛有显著的相关性。
목적：탐토폐암환자수술후하호흡도의원감염여마취상관인소，위강저폐암술후의원감염발생솔제공의거。방법회고성분석2009년12월－2013년12월수치적86례폐암환자림상자료，관찰환자주원의원감염발생솔，병대발생감염적상관인소진행분석，안조환자술후시부채용진통，장환자분위술후진통조54례화비진통조32례，관찰술후채용진통여하호흡도감염적상관성。결과86례환자발생의원감염12례，발생솔위13．95％，기중절구감염2례점16．67％、비뇨도감염1례점8．33％、하호흡도감염9례점75．00％；술후비진통조환자발생감염9례，발생솔위28．13％，진통조환자발생감염3례，발생솔위5．56％，량조환자감염발생솔상비，차이유통계학의의（P＜0．05）；차환자술후채용진통빙후진통효과현저우우미사용진통빙조，량조상비，차이유통계학의의（P＜0．05）。결론폐암환자술후하호흡도감염발생솔교고，차여환자술후시부사용진통유현저적상관성。
OBJECTIVE To explore the anesthesia‐related factors for postoperative lower respiratory tract infections in the lung cancer patients so as to reduce the incidence of postoperative nosocomial infections in the lung cancer patients .METHODS The clinical data of 86 lung cancer patients who were treated in the hospital from Dec 2009 to Dec 2013 were retrospectively analyzed ,then the incidence of nosocomial infections during the hospital stay was observed ,the related factors for the infections were analyzed .The lung cancer patients were divided into the anal‐gesia group with 54 cases and the non‐analgesia group with 32 cases according to the status of postoperative anal‐gesia ;the correlation between the postoperative analgesia and the lower respiratory tract infections was observed . RESULTS The nosocomial infections occurred in 12 of 86 patients ,with the incidence rate of 13 .95% ,including 2 (16 .67% ) cases of incision infections ,1 (8 .33% ) case of urinary tract infection ,and 9 (75 .00% ) cases of lower respiratory tract infections .The infections occurred in 9 cases in the non‐analgesia group ,with the incidence rate of 28 .13% ;the infections occurred in 3 cases in the analgesia group ,with the incidence rate of 5 .56% ,and there was significant difference in the incidence of infections between the two groups (P<0 .05) .The effect of postoper‐ative analgesia was significantly better in the patients treated with analgesia pump than in the patients without use of analgesia pump(P<0 .05) .CONCLUSION The incidence of the postoperative lower respiratory tract infections is high in the lung cancer patients ,which shows significant correlation with the postoperative analgesia .