喉罩通气全麻术后下呼吸道感染相关因素的调查分析

Correlation Factors of Lower Respiratory Tract Infection after General Anesthesia with Laryngeal Mask Airway:A Survey

目的探讨喉罩通气全麻术后下呼吸道感染的相关因素及防治措施。方法对外科、妇科及骨科病区158例全麻喉罩通气患者进行回顾性调查分析。结果有43例发生医院下呼吸道感染,占同期病区内医院下呼吸道感染总数的83.0%。结论麻醉方式、年龄、手术时间、有无胃管、抗菌药物的滥用及麻醉器械是否严格消毒管理是下呼吸道感染发生的重要因素。

OBJECTIVE To analyze the correlation factors and preventive measures of lower respiratory tract infection after general anesthesia with laryngeal mask airway. METHODS In surgery 158 cases of general anesthesia with laryngeal mask ventilation in gynecology and orthopedic wards were analyzed retrospectively. RESULTS Forty-three cases were found in hospitals with lower respiratory tract infection, accounting for 83% of the total lower respiratory tract infection in the wards at the same period. CONCLUSIONS The anesthesia way, the age, the operation time, whether gastric tube, the abuse of antibiotics and whether the anesthesia equipments strictly disinfected and managed may be the important factors which can cause the lower respiratory tract infection.