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

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(P0.05)。而与患者插管途径、插管方式、拔管延迟(3 h)无关(P0.05)。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。

Analysis of Anesthesia Related Factors and Countermeasures in Elder Patients With Respiratory Tract Infection After Intubation in General Anesthesia*

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.