术中干预对气管插管全身麻醉术后发生肺部感染的影响

郭瑞娟，王丽娟，吴秀婷，陈志惠，刘洁

（陕西省汉中市中心医院，陕西 汉中，723000）

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摘要：

目的 探讨术中干预措施对气管插管全身麻醉术后发生肺部感染的影响。方法 随机选取我院2013年7―9月、2014年7―9月进行插管全麻的手术患者各320例，分为对照组和观察组。对照组采用传统的气管插管操作方法，观察组采取术中干预措施，比较两组患者术后肺部感染发生情况。结果 观察组患者一次性气管插管成功率为92.2%，高于对照组的68.8%，差异具有统计学意义（P<0.05）；观察组麻醉医生手卫生依从性和手卫生正确率明显高于对照组，差异具有统计学意义（P<0.05）；观察组患者肺部感染发生率为2.5%，低于对照组的7.2%，差异具有统计学意义（P<0.05）。结论 在插管前对患者实施术中干预措施可降低气管插管全身麻醉后肺部感染发生率。

关键词：全身麻醉；肺部感染；干预措施

中图分类号：R614文献标志码：A文章编号：2096-1413(2017)15-0177-02

The influence of intraoperative intervention on lung infection after general anaesthesia for endotracheal intubation
GUO Rui-juan, WANG Li-juan, WU Xiu-ting, CHEN Zhi-hui, LIU Jie


(Hanzhong Central Hospital, Hanzhong 723000, China)

ABSTRACT: Objective To explore the influence of intraoperative intervention on lung infection after general anaesthesia for endotracheal intubation. Methods Six hundred and forty cases of intubation anesthesia surgery patients from July 2013 to September 2013 and July 2014 to September 2014 were randomly selected respectivily as control group and observation group, with 320 cases in each group. The control group was given the traditional operation method, while the observation group was taken intraoperative intervention measures, the incidence of postoperative pulmonary infection were compared between the two groups. Results The success rate of one-time intubation of the observation group was 92.2%, which was higher than 68.8% of the control group, the difference was statistically significant (P<0.05); the hand hygiene compliance and accuracy in the observation group were higher than those in the control group, the differences were statistically significant (P<0.05); the pulmonary infection incidence of observation group was 2.5%, which was lower than 7.2%, the difference was statistically significant (P<0.05). Conclusion Before intubation, the implementation of intraoperative
intervention could reduce the incidence of pulmonary infection after general anaesthesia for endotracheal intubation.

KEYWORDS: general anesthesia; pulmonary infection; interventions

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