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目的:分析食管癌患者术后发生肺部感染的危险因素及感染防治方法。方法:从兴宁市人民医院2014年12月至2015年12月接收并行食管癌根治手术的患者中,抽取90例作为本次研究的对象,按照是否并发肺部感染的原则,将其中术后并发肺部感染的45例患者将其作为此次研究的甲组;另外术后未发生肺部感染的45例患者将其作为此次研究的乙组,分析食管癌患者术后发生肺部感染的危险因素以及相关防治方法。结果:食管癌患者年龄≥60岁、合并基础疾病、长期吸烟、手术时间、术后引流不通畅均是引起食管癌手术患者术后出现肺部感染的危险因素,两组患者在上述各因素方面的对比结果显示,差异均具有统计学意义(P<0.05);采取健康教育、心理护理、保持呼吸通畅等防治措施,可显著降低食管癌手术患者并发肺部感染的几率。结论:引起食管癌患者术后发生肺部感染的危险因素较多,临床中应当给予足够的重视,并且积极提供有效的防治方法,全面降低肺部感染发生率。
Objective: To analyze the risk factors of pulmonary infection in patients with esophageal cancer and the methods of infection control. Methods: From Xingning People’s Hospital from December 2014 to December 2015, 90 patients who underwent radical esophageal cancer radical resection were selected as the object of this study. According to the principle of concurrent pulmonary infection, Forty-five patients with concurrent pulmonary infection were treated as Group A of this study. Forty-five patients who did not develop pulmonary infection after surgery were enrolled in Group B of this study and analyzed for pulmonary infection in patients with esophageal cancer Risk factors and related prevention and treatment methods. Results: Esophageal cancer patients aged ≥60 years, with underlying diseases, long-term smoking, operation time and postoperative drainage were the risk factors for pulmonary infection in patients with esophageal cancer surgery after operation, the two groups of patients in the above factors (P <0.05). The adoption of health education, psychological nursing and maintaining of respiratory smoothness could significantly reduce the risk of pulmonary infection in esophageal cancer patients. Conclusion: There are many risk factors of lung infection in patients with esophageal cancer after operation, which should be given enough attention in clinical practice. Effective prevention and treatment methods should be provided to reduce the incidence of pulmonary infection.