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目的:分析开胸术后老年患者下呼吸道感染发生的相关因素及其治疗对策。方法:选取2011年11月—2015年11月收治的行开胸手术后出现下呼吸道感染患者280例,采用多因素Logistic法分析下呼吸道感染发生的因素。结果:通过对所有患者进行单因素分析并排除其次要因素后,由其主要因素经logistic分析,其结果可知开胸术后老年患者出现下呼吸道感染主要有术后使用呼吸机超过6 h、双腔气管插管、慢性肺气肿病史、慢性支气管炎病史、年龄过大以及烟龄超过10年等因素。结论:老年患者开胸手术后出现呼吸道感染是由于多种因素共同作用所导致的,因此在临床预治上应当依据患者个人情况的特殊性,给予其相应的药物与护理干预治疗,以降低感染的发生率。
Objective: To analyze the related factors and treatment of lower respiratory tract infection in elderly patients after thoracotomy. Methods: Two hundred and eighty patients with lower respiratory tract infection after thoracotomy were selected from November 2011 to November 2015. Multivariate Logistic method was used to analyze the incidence of lower respiratory tract infection. Results: By univariate analysis of all patients and excluding the secondary factors, by the main factors by logistic analysis, the results showed that elderly patients after thoracic lower respiratory tract infection were mainly postoperative use of ventilator more than 6 h, double Lumen tracheal intubation, history of chronic emphysema, history of chronic bronchitis, over-age, and smoking age over 10 years. Conclusions: Respiratory infections after thoracotomy in the elderly patients are caused by the combination of many factors. Therefore, in the clinical pretreatment, the corresponding medication and nursing intervention should be given based on the particularity of the patients’ individual conditions so as to reduce the infection The incidence of.