呼吸道感染与麻醉的相关性临床研究

Clinical Study on the Relevance of Respiratory Infection and Anesthesia

目的:探讨呼吸道感染与麻醉的相关性。方法:选取2008年10月至2011年10月于我院手术治疗后发生呼吸道感染的患者120例,根据患者麻醉方式不同将患者分为A-1组(喉镜经气体消毒剂消毒),34例,A-2组(喉镜普通消毒液消毒),25例;B-1组(应用一次性过滤器),37例,B-2组(应用复式过滤器),24例,将患者呼吸道感染与麻醉的相关性进行统计学分析。结果:A-1组患者发生细菌感染1例,呼吸道感染1例,A-2组患者发生细菌感染12例,呼吸道感染7例,B-1组患者发生细菌感染2例,呼吸道感染1例,占2.70%,B-2组患者发生细菌感染13例,呼吸道感染6例,经统计学分析,A-1组使用气体消毒剂消毒效果明显优于A-2组普通消毒剂消毒,P<0.05,差异具有统计学意义,B-1组使用一次性过滤器效果明显优于B-2组使用复用式过滤器,P<0.05,差异具有统计学意义。结论:呼吸道感染与麻醉关系密切,做好麻醉器材的定期消毒,选择合适的麻醉方式,做好麻醉材料的选择,均能有效降低气管插管患者呼吸道感染的发生几率,减轻患者痛苦,提高患者的治疗效果。

Objective： To observe the relevance of respiratory infection and anesthesia. Methods： Choosing 120 patients with respiratory infection treated with operation in our hospital from October 2008 to October 2011. According to the different anesthetic ways,patients were divided into 4 groups, group A-1 （larynx disinfection by gas disinfectant） for 34 cases, group A-2（ larynx disinfection by common disinfectant} for 25 cases, group B-1 {apply disposable filter} for 37 cases, group B-2 （apply compound filter} for 24 cases. The relevance of respiratory infection and anesthesia of patients were analyzed statistically. Re- suits： There were bacterial infection in 1 case, respiratory infection in 1 case in the group A-1, as well as bacterial infection in 12 cases, respiratory infection in 7 cases in the group A-2. While there were 2 cases of bacterial infection, 1 ease of respiratory infection { for the incidence rate of 2.70% } in the group B- 1, as well as 13 cases of bacterial infection and 6 cases of respiratory infection. By statistical analysis, the effect of group A-1 using gas disinfectant was better significantly than group A-2 of ordinary disinfectants, P 〈0.05, which has statistically significant difference. And the effect of group B- 1 applying disposable filter was better than group B-2 using compound filter, P 〈0.05, which has statistically significant difference. Conclusions：Respiratory infection has close connection with anesthesia. Making anesthesia equipment disinfected regular- ly, choosing the appropriate anesthesia way, and choosing the respiratory infection of intubated patients, reduce patient pain, anesthesia materials well to lower the risk of and improve the treatment effects.