摘要
目的探讨心胸外科手术部位感染的相关危险因素,并提出相应的对策,为临床防治提供依据。方法连续纳入120例心胸外科行手术治疗的患者,详细记录患者的相关病史,并给予相应的对症支持治疗,根据手术部位是否发生感染分为感染组与未感染组;应用多因素回归分析进行统计分析。结果 120例心胸外科行手术治疗患者中有20例患者发生手术部位感染,感染率为16.7%;单因素分析结果显示,糖尿病史、术中及术后输血、预防性使用抗菌药物与心胸外科手术部位感染的发生存在密切的相关性,两组差异有统计学意义(P<0.05);感染组手术时间(2.0±1.2)h,未感染组手术时间(1.2±0.6)h,两组差异有统计学意义(P<0.05);多因素分析结果显示,手术时间延长、糖尿病史及预防性使用抗菌药物是心胸外科手术部位感染发生的独立危险因素(P<0.05)。结论在临床工作中,对糖尿病患者要积极给予降糖治疗措施,同时尽可能的减少患者手术的时间,并严格掌握抗菌药物的适应证,以降低感染的发生。
OBJECTIVE To explore the risk factors associated with the surgical site infection in the cardiothoracic department and to put forward the corresponding countermeasures so as to guide the clinical prevention and treatment.METHODS A total of 120 patients who underwent cardiothoracic surgery were enrolled in the study,the disease history of the patients was recorded in detail,the patients were given the corresponding support treatment and were divided into the infection group and the non-infection group according to the status of surgical site infections,and the multivariate regression analysis was performed.RESULTS Of totally 120 patients undergoing the cardiothoracic surgery,the surgical site infections occurred in 20 patients with the infection rate of 16.7%.The univariate analysis showed that the diabetes history,intraoperative and postoperative blood transfusion,and preventive use of antibiotics were closely related to the incidence of the surgical site infections,the difference between the two groups was statistically significant（P 0.05）;the operation duration was（2.0±1.2） h in the infection group and（1.2±0.6） h in the non-infection group,the difference was statistically significant（P 0.05）;Multivariate analysis indicated that the extension of operation duration,diabetes history and the preventive use of antibiotics were the independent risk factors for the surgical site infections（P0.05）.CONCLUSION In clinical work,for the patients with diabetes it should actively give the hypoglycemic treatment,at the same time it is necessary to shorten the operation duration as far as possible and strictly grasp the indications of antibiotics so as to reduce the incidence of the infections.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2013年第5期1038-1040,共3页
Chinese Journal of Nosocomiology
关键词
心胸外科
手术
感染
危险因素
多因素分析
Cardiothoracic department
Surgery
Infection
Risk factor
Multivariate analysis
