老年人腹股沟疝术后肺部感染的原因及对策

The cause and countermeasure of postoperative lung infections in elderly inguinal hernia

目的 探讨老年人腹股沟疝术后并发肺部感染的原因 ,提出防范措施。方法 回顾性分析 10 6例 6 0岁以上腹股沟疝手术病人的临床资料。结果 采用无张力疝修补术的 2 9例患者术后1例并发肺部感染 ,传统的疝修补术 77例术后 13例并发肺部感染 ,采用无张力疝修补术后肺部感染的发生率低 (P <0 .0 1)。结论 发现慢性支气管炎和肺气肿、吸烟史及传统的手术方式是术后并发肺部感染的三项高危因素 ,采用无张力疝修补术以及做好术前准备和治疗、改善肺功能是预防老年人腹股沟疝术后肺部感染的有效方法。

Objective To analyze the causes of postoperative lung infections in elderly patients with inguinal strangulated hernia and put forward to-be-on-guard measure and treatment. Methods The data of 106 patients who were older than 60 in our hospital were retrospectively analyzed. Results Amongst these 29 cases who were treated with tension-free hernioplasty, postoperative lung infections occurred in one of them. Amongst these77 cases who were treated with traditional hernioplasty, postoperative lung infections occurred in 13 of them. Patients with tension-free hernioplasty had a significantly lower morbidity rate than those with traditional hernioplasty(P< 0.01). Conclusions The most dangerous factors for postoperative lung infections in elderly inguinal hernia included chronic bronchitis and pulmonary emphysema, smoking, traditional operative procedure. Tension-free hernioplasty, respiratory tract nursing care and perioperative management are effective for preventing postoperative lung infections in elderly inguinal hernia.