摘要
目的探讨心外科手术术后导致医院感染的相关因素,以采取预防控制措施。方法选择2010年1月-2011年1月医院收治的248例心外科手术患者作为研究对象,对术后医院感染发生率及导致感染发生的危险因素进行单因素分析和多因素logistic回归分析。结果 248例心外科术后发生感染19例,感染率为7.66%;单因素分析结果显示,术后医院感染同年龄、手术、胸腔引流、气管插管留置、导尿管留置、输血情况、是否联用抗菌药物、呼吸机使用时间因素有关;多因素logistic回归分析结果表明,年龄、手术时间、胸腔引流时间、气管插管留置时间、导尿管留置时间、输血、是否联用抗菌药物、呼吸机使用时间是术后医院感染的危险因素。结论医院针对该相关因素,采取相应的预防与控制措施,减少心外科术后感染的发生。
OBJECTIVE To study the related factors for postoperative nosocomial infections in patients who underwent cardiac surgery,and to propose corresponding nursing measures so as to take corres poding prevention and control measures.METHODS A total of 248 patients who underwent cardiac surgery were enrolled.Univaiate analysis and multivariate logistic regression analysis were used to analyze the related factors for postoperative nosocomial infections in patients undergoing cardiac surgery.RESULTS The incidence of nosocomial infections in the patients undergoing cardiac surgery was 7.66%（19/248）.The univariate analysis showed that the incidence of postoperative nosocomial infections was correlated with the age,operation duration,chest drainage,endotracheal intubation,blood transfusion,combined used of antibiotics,and the use of ventilator.The multivariate logistic regression analysis indicated that the age,operation duration,chest drainage time,endotracheal intubation,catheterization duration,blood transfusion,combined use of antibiotics and use of ventilator were the risk factors for the postoperative nosocomial infections.CONCLUSION The hospital should take the corresponding prevention and control measures targeted to the related factors so as to reduce the incidence of infections after the cardiac surgery.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2013年第3期547-548,567,共3页
Chinese Journal of Nosocomiology
基金
浙江省护理科学研究项目(2012-B009)
关键词
心外科
手术
医院感染
因素分析
Cardiac surgery
Surgery
Nosocomial infection
Factor analysis
