轻中度上呼吸道感染对全麻患儿并发症及机体应激状态的影响研究

Effect of mild or moderate upper respiratory tract infection on the complication rate and body stress of children with general anesthesia

  • 摘要: 目的 探讨轻中度上呼吸道感染对全麻手术患儿的临床实际影响,为相关临床研究和临床实践操作提供借鉴和参考依据。方法 选取2012年1月-2014年1月期间医院临床收治的手术患儿112例为研究对象,根据患儿是否并发轻中度上呼吸道感染分成感染组和非感染组,各56例;比较两组患儿临床指标,数据采用SPSS 17.0软件进行统计分析。结果 感染组多痰、咳嗽、屏气、体温升高发生率分别为48.21%、41.07%、12.50%和28.57%,均高于非感染组,差异有统计学意义(P<0.05);感染组PCT、CRP和IL-6水平分别为(2.02±1.04)μg/L、(15.11±2.92)mg/L和(56.83±7.32)pg/mL,均高于非感染组,差异均有统计学意义(P<0.05)。结论 轻中度上呼吸道感染可提高全麻患儿并发症发生率,导致患儿的炎症因子和应激状态出现异常的现象,对炎症因子和应激指标的监测有利于预测和监测轻中度呼吸道感染的发病及病情进展情况。

     

    Abstract: OBJECTIVE To investigate the clinical effect of mild or moderate upper respiratory tract infection on the complication rate and body stress of children with general anesthesia, so as to provide reference and basis for clinical research and clinical practice operations. METHODS A total of 112 cases of children with surgery in our hospital from Jan. 2012 to Jan. 2014 were chosen. According to whether or not with mild or moderate upper respiratory tract infection, the patients were divided into infection group and non-infection group, with 56 cases in each group. The clinical indicators were observed and compared. The data were analyzed by SPSS 17.0. RESULTS The incidence of phlegm, cough, breath, and fever of infection group were 48.21%, 41.07%, 12.50% and 28.57%, respectively, which was higher than those of non-infected group, and the differences were significant (P<0.05). The PCT, CRP and IL-6 levels of infection group were (2.02±1.04) μg/L, (15.11±2.92) mg/L and (56.83±7.32) pg/mL, which were all higher than those of non-infected group, and the differences were significant (P<0.05). CONCLUSION The mild or moderate upper respiratory infections can increase the incidence of complications of general anesthesia in children, and lead to abnormal phenomenon of inflammatory cytokines and stress indicators. The monitoring for inflammatory cytokines and stress indicators can forecast the incidence of mild or moderate respiratory tract infection and disease progress.

     

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