摘要
目的分析眼外伤手术患者医院感染的相关因素。方法回顾性分析2009年1月至2012年12月眼外伤实施手术的6513例中，发生医院感染的52例作为病例组，随机按照1：1比例选择同期未发乍医院感染的眼外伤病例作为对照组。并将曲组可能影响医院感染的因素资料进行单因素及多因素分析。结果单因素分析结果显示，年龄、致伤原因、外伤至于术间隔时间及侵入性操作等因素存病例组和对照组的分布差异有统计学意义。多因素分析结果显示，年龄小于14岁或超过60岁、植物性眼外伤、外伤至手术间隔3d以上或对患荷实施了侵入性操作，均可能成为眼外伤发生医院感染的危险因素。结论眼外伤患者医院感染因素复杂，应依据患者不同的危险因素，制定有针对性的措施，可有效预防医院感染的发生。
Objective To analyze the risk factors and preventive interventions of nosocolnial infection （NI） on patients with ocular trauma surgery. Methods 6513 patients with ocular trauma surgery were involved in this study from January 2009 to December 2012. A total of 52 patients with NI were assigned to ease group. For each case, one control （ patient of ocular trauma surgery without NI in the same period） was randomly selected. Single factor analysis and the logistic regression model were used to estimate the odds ra- tio （OR） and its 95% confidence interval （95% CI）. Results There were significant differences between the two groups in age, the reason of ocular trauma, the interval time between injury and operation and the in- vasive operation （P 〈0.05 ）. The possible risk factors of NI might include： younger than 14 and older than 60 years old, injury with vegetative and other organic matter, the interval time between injury and operation 〉 3 days and the invasive operation. Conclusion The risk factors of NI in patients with ocular t,＇auina op- eration are very complicated and some effective measures pointed to avoid the possible impact factors should be proposed to prevent NI.
出处
《中华眼外伤职业眼病杂志》
2013年第12期902-904,共3页
Chinese Journal of Ocular Trauma and Occupational Eye Disease
关键词
外伤
眼
感染
医院
因素
危险
Trauma, ocular
Infection, nosocomial
Factor, risk
