| 腹部手术后院内肺炎的危险因素分析 |
| |
| 引用本文： | 陈纪伟,贺银成,曹军,覃稚华. 腹部手术后院内肺炎的危险因素分析[J]. 临床外科杂志, 2001, 9(2): 94-95 |
| |
| 作者姓名： | 陈纪伟 贺银成 曹军 覃稚华 |
| |
| 作者单位： | 1. 武汉大学中南医院普外科
2. 武汉市七医院 |
| |
| 摘 要： | 目的:探讨腹部手术后导致院内肺炎的危险因素.方法:采用单因素分析法及非条件Logistic逐步回归分析可能导致院内肺炎的18种危险因素.结果:单因素分析表明吸烟史等10项与术后肺炎的发生有关,进一步多元回归分析表明:并存慢性阻塞性肺病(慢阻肺)(OR=17.01),麻醉方式(OR=16.45),切口长度*(OR=2.25),手术持续时间(OR=0.90),术前0.5h预防性应用抗生素(OR=0.38)及机械通气(OR=0.38)是术后院内肺炎的高危因素.结论:患者并存慢阻肺,术前不预防性应用抗生素,手术切口和手术持续时间太长,采用气管插管,机械通气等全麻方式,是术后发生院内肺炎的主要原因,.
|
| 关 键 词： | 肺炎 回归分析 手术后并发症 |
| 文章编号： | 1005-6483（2001）02-0094-02 |
| 修稿时间： | 2000-09-04 |
Analysis of risk factors for nosocomial pneumonia following abdominal surgery |
| |
| CHEN Jiwei,QIN Zhihua,HE Yincheng,et al.. Analysis of risk factors for nosocomial pneumonia following abdominal surgery[J]. Journal of Clinical Surgery, 2001, 9(2): 94-95 |
| |
| Authors: | CHEN Jiwei QIN Zhihua HE Yincheng et al. |
| |
| Affiliation: | CHEN Jiwei,QIN Zhihua,HE Yincheng,et al. Department of General Surgery,Zhongnan Hospital,Wuhan University,Wuhan 430071,China |
| |
| Abstract: | Objective To investigate risk factors for nosocomial pneumonia following abdominal surgery.Methods 18 risk factors were assessed by single factor analysis and Logistic regression. Results By single factor analyzing on 18 factors, the differences of 10 factors were significant.6 risk factors were identified as independent by logistic regression, including chronic obstructive disease of lung (OR=17.01),anesthetization(OR=16.45),the length of incision (OR=2.25), long time in operation(OR=0.90), administration of preoperative antibiotics (OR=0.38) and mechanical ventilation(OR=0.38).Conclusion 6 of 18 were risk factors resulting in nosocomial pneumonia in abdominal surgical patients. |
| |
| Keywords: | Pneumonia Regression analysis Postoperative complications |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ |
|
