术后下呼吸道感染的调查分析及护理对策

目的 通过了解术后下呼吸道感染的分布和主要原因,提出具体护理对策。方法 对１８７６例手术后下呼吸道感染进行回顾性分析。结果 术后下呼吸道感染主要发生在神经外科,胸、心血管外科和肝胆外科次之;全麻插管术后下呼吸道感染明显高于神经阻滞及局部浸润麻醉（Ｐ〈０．０５）,６０岁以上高龄患者较中青年患者更易于发生下呼吸道感染,抗生素存在呼吸道感染的预防,要针对影响其主要因素采取相应护理对策。

Investigation and analysis and mursing strategies of postoperative lower respiratory tract infection

Objective To propose nursing strategy for postoperative lower respiratory tract infection by identifying its distribution and major causes.Method 187 cases of postoperative lower respiratory tract infection were investigated by retrospective method.Results The occurrence of lower respiratory tract infection in Neurosurgery was significantly higher than that in Thoracia Surgery,Cardiovascular Surgery or Hepatobiliary Surgery.The infection after general anesthesia was significantly higher than that of nerve block anesthesia and local infiltration anesthesia( P <0 05).The aged over 60 years old was more likely to develop postoperative lower respiratory tract infection.The antibiotic was abused.Conclusion The prevention of postoperative lower respiratory tract infection must be focus on the major causes and specific nursing strategy should be adopted.