开胸手术后肺炎危险因素分析与对策

Risk factors and preventive strategies of pneumonia following thoracotomy

目的探讨开胸手术后肺炎危险因素及其防治对策。方法回顾性分析380例开胸手术患者的病历资料,按术后是否发生肺炎分为肺炎组(30例)和对照组(60例)。应用单因素和多因素分析方法,分析各变量与肺炎发生的关系。结果术前吸烟史≥10年(每日吸烟量>20支)、慢性支气管炎病史、慢性肺气肿病史、双腔气管插管、留置鼻胃管、术后使用呼吸机>6 h、有明显排痰困难等是开胸手术后发生肺炎的危险因素。结论开胸手术后肺炎的危险因素较多,我们应针对其危险因素予以防控。

Objective To evaluate the risk factors and preventive strategies of pneumonia following thoracotomy, Methods Clinical data of 380 patients who had undergone thoracotomy were reviewed, and patients were divided into pneumonia group （30 cases） and control group （60 cases） according to whether pneumonia developed after operation. The relation between risk factors and occurrence of pneumonia were analyzed with single factor and multiple factor analytical method, Results Smoking history≥10 years, having chronic bronchitis or pulmonary emphysema history, double cavity tracheal intubations, nasogastric tube, using respirator 〉 6 h after operation and having evident difficulty in sputum discharge were high risk factors, Conclusion There are many risk factors for the occurrence of pneumonia after thoracotomy, prevention and control measures should be adopted according to the risk factors.