气管插管麻醉及围术期抗生素的预防性应用与下呼吸道感染的相关性分析

王军

（陕西省延安市黄陵县人民医院麻醉科，陕西 延安，727300）

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摘要：

目的 研究气管插管麻醉及围术期抗生素的预防性应用与下呼吸道感染的相关性。方法 选取进行气管插管麻醉的患者128例，将其按照随机数字表法分为甲组、乙组，各64例。甲组患者依据插管深度的不同分为试验1组（插管适宜）和对照1组（插管过深），乙组患者依据围术期抗生素使用情况分为试验2组（应用）和对照2组（未用），各32例，比较甲、乙两组内2个亚组患者下呼吸道感染的发生率。结果 甲组患者中，试验1组的下呼吸道感染率为0.0%，明显低于对照1组的12.5%，差异显著（P<0.05）；乙组患者中，试验2组的下呼吸道感染率为3.1%，明显低于对照2组的18.8%，差异显著（P<0.05）。结论 在进行气管插管麻醉时，插管深度适宜，在围手术期预防性使用抗生素，均可降低下呼吸道感染的发生几率。

关键词：气管插管；麻醉；下呼吸道感染

中图分类号：R614文献标志码：A文章编号：2096-1413(2017)13-0101-02

Analysis of correlation between tracheal intubation anesthesia and preventive application of antibiotics during operation period and lower respiratory tract infection
WANG Jun
(Department of Anesthesiology, People s Hospital of Huangling County, Yan an 727300, China)

ABSTRACT: Objective To study the correlation between tracheal intubation anesthesia and preventive application of antibiotics during operation period and lower respiratory tract infection. Methods One hundred and twenty-eight cases of patients treated with tracheal intubation anesthesia were enrolled and divided into group A and group B according to the random digital table, with 64 cases in each group. The group A was further divided into experimental group 1 ( suitable intubation) and control group 1 (deep intubation) according to the different depth, while the group B was further divided into experimental group 2 (application) and control group 2 (none-application) according to whether the patients were given antibiotics during operation period, with 32 cases in each group. The incidence rates of lower respiratory tract infection were compared between the two sub-groups of the group A and B. Results In the group A, the incidence rate of lower respiratory tract infection of the experimental group 1 was 0.0%, which was lower than 12.5% of the control group 1 (P<0.05). In the group B, the incidence rate of lower respiratory tract infection of the experimental group 2 was 3.1%, which was lower than 18.8% of the control group 2 (P<0.05). Conclusion During the tracheal intubation anesthesia, both appropriate depth of intubation and preventive application of antibiotics during operation period can reduce the incidence of lower respiratory tract infection.

KEYWORDS: trachea intubation; anaesthesia; lower respiratory tract infection

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