国际麻醉学与复苏杂志   2012, Issue (9): 4-4
    
手术部位感染与麻醉相关因素分析进展
吴新海, 郑利民1()
1.北京大学深圳医院麻醉科
Risk factors of surgical site infections during anesthesia
 全文:
摘要:

背景 手术部位感染(surgical site infections, SSIs)是指手术30 d内发生在手术部位的感染,是外科手术患者死亡率、平均住院日和住院费用增加的主要因素。目的 将术后SSIs与麻醉相关因素之间关系的研究进展作一综述。内容 多数研究支持围术期吸入高浓度的氧和体温保护能减少SSIs; 围术期大量输血能抑制机体的免疫力,增加术后SSIs,输注晶体液和胶体液对术后并发症的影响尚不明确;围术期严格的血糖控制被证实能减少SSIs;不同的麻醉药和麻醉方式对SSIs的发生率产生不同的影响。趋向 研究麻醉相关因素与术后SSIs的关系能进一步提高麻醉医生的麻醉管理水平,减少SSIs的发生率,降低患者的医疗费用,有很好的社会和经济效益。

关键词: 麻醉;手术部位感染;体温保护;输血;血糖控制
Abstract:

Background Surgical site infections (SSIs) is infections that occur in 30 days after surgery in the part of the body where the surgery took place. SSIs is the main factor of increased mortality and average length of hospital stay and costs. Objective The paper reviews the study progress on the association between postoperative SSIs and anesthetic factors. Content Most of these studies support that perioperative high concentrations of inhaled oxygen and temperature protection can decrease the incidence of SSIs. Perioperative massive blood transfusion can suppress the body's immune system and increase the incidence of SSIs. The effect of supplemental intravenous crystalloid/colloid administration on the postoperative complications remains unclear. It is confirmed that perioperative tight glycemic control can decrease the incidence of SSIs. The effect of different types of anesthesia and anesthetics on the SSIs is not the same. Trend The study of association between anesthesia-related factors and postoperative SSIs can improve the perioperative management, decrease the incidence of SSIs, and reduce healthcare costs with lots of social and economic benefits.

Key words: Anesthesia; Surgical site infection; Temperature protection; Blood transfusion; Glycemic control