老年人腹部术后并发肺部感染的原因分析与护理

Analysing the causes of the older patients complicated pneumonic infection after abdominal operation and its nursing

目的:了解老年人腹部术后并发肺部感染的相关因素,有针对性地加强术后并发症肺部感染的预防及护理。方法根据患者的年龄、性别、手术创伤大小、手术时间是否超过3小时、季节、麻醉方式,对1206份腹部手术病例进行了回顾性调查分析。结果60岁以上的老年人腹部术后并发肺部感染发生率高,大手术、手术时间>3h者、全身麻醉者及冬季,与各对照组的差别有显著意义(P<0005)。结论针对上述特点采取了术前患者教育、术中保持呼吸道通畅、缩短手术时间和术后早期静脉营养、恰当的护理等措施有助于防治腹部术后并发肺部感染。

Objective： To investigate the relationship factors of the older patients complicated pneumonic infection after abdominal operation, and to aim at preventing and nursing the complication of pneumonic infection after operation. Methods 1206 patients were analysed by retrospective studies according to ages, sexes, operation trauma, time of operation if more than 3 hours, seasons, type of anesthesia . Results The appearance rate of complicated pneumonic infection was higher after abdominal operation with the older patients more than 60 years old. There were significant differences between big operation trauma group, operation time more than 3 hours group, general anesthesia group, operation group in winter with control groups, respectively（P〈0 005）. Conclusion According to their character we have taken the measures including educating patients after operation and keeping the respiratory way through in operation and reducing operation time and earlier giving vein nultrition and nursing ways recrectly, they were helpful of preventing the older patients complicated pneumonic infection after abdominal operation.