中国当代医药2024，Vol.31Issue(1)：19-22,4.
外科手术患者术后院内获得性肺炎发生的影响因素
Influencing factors on postoperative hospital acquired pneumonia in sur-gical patients
摘要
Abstract
Objective To explore the relevant influencing factors of postoperative hospital acquired pneumonia(HAP)in surgical patients.Methods The clinical data of 2 824 patients undergoing surgical treatment in Jiujiang First People's Hos-pital from January 2020 to February 2023 were retrospectively selected.The patients were divided into HAP group(31 cas-es)and non HAP group(n=2 793 cases)according to whether they had HAP after surgery.Results The results of single fac-tor analysis showed that there were significant differences in the incidence between patients with different age,nature of surgery,mode of anesthesia,diabetes,smoking history,tracheotomy,indwelling gastric tube,and operation time＞3 h(P＜0.05);Sex,type of Surgical incision,amount of intraoperative bleeding,and hypertension were not related to postoperative HAP in surgical patients,and the difference was not statistically significant(P＞0.05);According to logistic regression anal-ysis,age ≥ 60 years old(β=0.899,OR=2.458,95％CI=1.205-5.011),emergency surgery(β=1.985,OR=7.279,95％CI=3.488-15.188),general anesthesia(β=2.739,OR=15.464,95％CI=2.106-113.569),combined with diabetes(β=0.983,OR=2.672,95％CI=1.310-5.450),smoking history([3=1.150,OR=3.157,95％CI=1.537-6.484),tracheotomy(β=1.043,OR=2.837,95％CI=1.331-6.047),indwelling gastric tube(β=0.753,OR=2.123,95％CI=1.035-4.355),surgery time＞3 h(β=2.198,OR=9.006,95％CI=4.384-18.501)were high-risk factors for postoperative HAP in surgical patients(P＜0.05).Conclusion Surgical patients are prone to postoperative HAP,which is influenced by multiple factors.Corresponding prevention and treatment strategies can be developed for each factor in clinical practice,which may reduce the occurrence of HAP.关键词
院内获得性肺炎/外科手术/吸烟史/气管切开/留置胃管Key words
Hospital acquired pneumonia/Surgical procedures/Smoking history/Tracheotomy/Indwelling gastric tube分类
医药卫生引用本文复制引用
宋微微..外科手术患者术后院内获得性肺炎发生的影响因素[J].中国当代医药,2024,31(1):19-22,4.基金项目
江西省卫生健康委科技计划项目(202211768). （202211768）
