| 吴超贤1 王莉1 任远华1 董建军1 赵永军1△ 李顺长2.老年患者全身麻醉气管插管后致下呼吸道感染的相关因素分析及对策*[J].,2014,14(15):2925-2928 |
| 老年患者全身麻醉气管插管后致下呼吸道感染的相关因素分析及对策* |
| Analysis of Anesthesia Related Factors and Countermeasures in ElderPatients With Respiratory Tract Infection After Intubation in GeneralAnesthesia* |
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| DOI： |
| 中文关键词: 老年 全身麻醉 气管插管 下呼吸道感染 影响因素 |
| 英文关键词: Elderly patients General anesthesia Endotracheal intubation Lower respiratory tract infections Influencing factors |
| 基金项目:卫生部杰出人才扶持计划基金（315009） |
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| 中文摘要: |
| 摘要目的：探讨老年患者全身麻醉气管插管后致下呼吸道感染麻醉相关影响因素，并采取相对应的处理措施，以期提高临床治
疗水平。方法：回顾性分析2010 年1 月-2013 年1 月103 例老年全身麻醉气管插管患者，对其中出现下呼吸道感染的13 例患者
进行回顾性麻醉影响因素分析。结果：老年患者全身麻醉气管插管后下呼吸道感染麻醉相关影响因素有插管过深、插管不熟练、
拔管指征不完全、拔管延迟（＞3 h）、麻醉时间长（＞3 h）等（P＜ 0.05）。而与患者插管途径、插管方式、拔管延迟（<3 h）无关（P＞ 0.
05）。结论：老年患者全身麻醉气管插管后致下呼吸道感染麻醉相关影响因素较大，临床上要加以规范。 |
| 英文摘要: |
| ABSTRACT Objective:To investigate anesthesia related factors in elder patients with respiratory tract infection after intubation in
general anesthesia, and take corresponding countermeasures to deal with in order to improve the level of clinical treatment.Methods: 103
cases of elderly patients with tracheal intubation under general anesthesia during January, 2010-January, 2013 were analyzed
retrospectively. Anesthesia influencing factors of 13 cases which subjected to lower respiratory tract infections were analyzed.
Results:The anesthesia related influencing factors in elder patients with respiratory tract infection after intubation in general anesthesia were as
follows: Deep intubation, intubation unskilled, inappropriate extubation indication, delayed extubation (> 3h), and anesthesia for a long
time(> 3h) , etc(P<0.05). However, intubation approach, intubation method, and delayed extubation(<3h) were statistically unrelated (P>
0.05). Conclusion:Anesthesia related factors in elder patients with respiratory tract infection after intubation in general anesthesia are
significant, and should further be regulated in clinical work. |
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