口腔颌面外科杂志2024，Vol.34Issue(1)：54-58,5.DOI:10.12439/kqhm.1005-4979.2024.01.008
高龄患者颌面部外伤全身麻醉术后下呼吸道感染危险因素的分析
Risk factors of lower respiratory tract infection after general anesthesia for maxillofacial trauma in elderly patients
摘要
Abstract
Objective:To explore the causes and risk factors of lower respiratory tract infection after general anesthesia and endotracheal intubation in elderly patients with maxillofacial trauma,and provide basis for clinical early intervention.Methods:A total of 300 elderly patients with maxillofacial trauma undergoing general anesthesia and endotracheal intubation were collected from January 2010 to January 2021.The detailed information and medical history of the patients were obtained,the number of cases of postoperative lower respiratory tract infection was recorded,and the possible causes and risk factors were systematically analyzed.Results:Forty of the 300 elderly patients who underwent maxillofacial trauma surgery had lower respiratory tract infection,and the infection rate was 13.33%.Forty-seven strains of pathogens were isolated from the lower respiratory tract secretions,including 13 strains of Gram-positive bacteria,accounting for 27.66%,31 strains of Gram-negative bacteria,accounting for 65.96%,and 3 strains of fungi,accounting for 6.38%respectively.Multivariate clinical analysis showed that the possible causes and risk factors were time from injury to surgery,operation time duration,wound contamination,postoperative extubation time,vomiting within 6 hours after operation,and previous chronic respiratory infections(P<0.05);multivariate logistic regression analysis showed that time from injury to surgery,operation time duration,wound contamination,postoperative extubation time and vomiting within 6 hours were independent risk factors of lower respiratory tract infection after general anesthesia(P<0.05).Conclusion:Lower respiratory tract infection after general anesthesia and endotracheal intubation in elderly patients with maxillofacial trauma is in high probability and there are many risk factors;according to the possible causes and risk factors,clinical intervention should be carried out in advance to actively prevent the occurrence of lower respiratory tract infection,so as to improve the quality of life of patients after operation.关键词
高龄患者/颌面部外伤/全身麻醉/下呼吸道感染/危险因素Key words
elderly patients/maxillofacial trauma/general anesthesia/lower respiratory tract infection/risk factors分类
医药卫生引用本文复制引用
李谊,胡浩磊,张鹏臻..高龄患者颌面部外伤全身麻醉术后下呼吸道感染危险因素的分析[J].口腔颌面外科杂志,2024,34(1):54-58,5.基金项目
河南省医学科技攻关计划联合共建项目(LHGJ20190862) （LHGJ20190862）
