中华医院感染学杂志
中華醫院感染學雜誌
중화의원감염학잡지
Chinese Journal of Nosocomiology
2015年
7期
1604-1606
,共3页
普通外科%老年患者%低氧血症%危险因素%感染预防
普通外科%老年患者%低氧血癥%危險因素%感染預防
보통외과%노년환자%저양혈증%위험인소%감염예방
General surgery%Elderly patients%Hypoxemia%Risk factor%Infection prevention
目的：探讨普通外科老年患者术后早期低氧血症及术后感染的危险因素，并制定对应的预防方法，降低患者低氧血症及感染的发生率。方法选取2010年7月－2013年8月收治的普通外科老年手术患者55例，根据患者术后发生低氧血症为A组23例和未发生低氧血症为B组32例，对两组病例进行单因素分析筛选出相关的危险因素后，再采用 logistic多元回归分析进行多因素的分析。结果55例普通外科老年患者术后发生早期低氧血症共23例，发生率为41．8％，男性发病率高于女性，logistic多元回归分析的结果显示，性别、吸烟史、糖尿病、高脂血症、术前肺功能异常以及手术时间是其独立危险因素；55例患者中术后发生感染5例，感染率为9．1％。结论老年普通外科术后早期低氧血症与否与性别、高脂血症、吸烟史、术前肺功能异常以及手术时间有密切联系，术后感染与糖尿病、术前肺功能、手术时机、住院时间、手术时间有关，对这些危险因素应积极预防和早期干预，减少低氧血症发生率和感染率。
目的：探討普通外科老年患者術後早期低氧血癥及術後感染的危險因素，併製定對應的預防方法，降低患者低氧血癥及感染的髮生率。方法選取2010年7月－2013年8月收治的普通外科老年手術患者55例，根據患者術後髮生低氧血癥為A組23例和未髮生低氧血癥為B組32例，對兩組病例進行單因素分析篩選齣相關的危險因素後，再採用 logistic多元迴歸分析進行多因素的分析。結果55例普通外科老年患者術後髮生早期低氧血癥共23例，髮生率為41．8％，男性髮病率高于女性，logistic多元迴歸分析的結果顯示，性彆、吸煙史、糖尿病、高脂血癥、術前肺功能異常以及手術時間是其獨立危險因素；55例患者中術後髮生感染5例，感染率為9．1％。結論老年普通外科術後早期低氧血癥與否與性彆、高脂血癥、吸煙史、術前肺功能異常以及手術時間有密切聯繫，術後感染與糖尿病、術前肺功能、手術時機、住院時間、手術時間有關，對這些危險因素應積極預防和早期榦預，減少低氧血癥髮生率和感染率。
목적：탐토보통외과노년환자술후조기저양혈증급술후감염적위험인소，병제정대응적예방방법，강저환자저양혈증급감염적발생솔。방법선취2010년7월－2013년8월수치적보통외과노년수술환자55례，근거환자술후발생저양혈증위A조23례화미발생저양혈증위B조32례，대량조병례진행단인소분석사선출상관적위험인소후，재채용 logistic다원회귀분석진행다인소적분석。결과55례보통외과노년환자술후발생조기저양혈증공23례，발생솔위41．8％，남성발병솔고우녀성，logistic다원회귀분석적결과현시，성별、흡연사、당뇨병、고지혈증、술전폐공능이상이급수술시간시기독립위험인소；55례환자중술후발생감염5례，감염솔위9．1％。결론노년보통외과술후조기저양혈증여부여성별、고지혈증、흡연사、술전폐공능이상이급수술시간유밀절련계，술후감염여당뇨병、술전폐공능、수술시궤、주원시간、수술시간유관，대저사위험인소응적겁예방화조기간예，감소저양혈증발생솔화감염솔。
OBJECTIVE To investigate the risk factors for early hypoxemia and infections in elderly patients after surgery ,and to develop the corresponding methods of prevention ,and reduce the incidence of hypoxemia and infections .METHODS Totally 55 elderly surgical patients admitted in Jul .2010 to Aug .2013 were enrolled and divided into group A (23 cases with postoperative hypoxemia ) and group B (32 cases without postoperative hypox‐emia) .The univariate analysis was used to screen the related risk factors ,then the logistic regression analysis was used to analyze multiple factors .RESULTS There were a total of 23 cases with early onset of postoperative hypox‐emia in the 55 elderly patients ,the incidence rate was 41 .8% ,higher in males than in females .The logistic re‐gression showed that gender ,smoking history ,diabetes ,hyperlipidemia ,abnormal lung function before surgery , and operative time were independent risk factors .Five out of 55 patients had postoperative infections ,the infection rate was 9 .1% .CONCLUSION Early postoperative hypoxemia in elderly patients was closely related to gender , hyperlipidemia ,smoking history ,preoperative abnormal pulmonary function ,and operative time ,postoperative infection was related to diabetes ,preoperative pulmonary function ,timing of surgery ,hospital stay ,and operative time .Active prevention and early intervention should be adopted targeting at these risk factors so as to reduce the incidence and prevalence of hypoxemia and infections .
