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脊柱内固定术后手术部位感染危险因素分析与干预效果 被引量:7

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摘要 目的通过分析脊柱内固定手术患者术后手术部位感染(SSI)的危险因素,制定有效的SSI防控措施。方法对524例脊柱内固定手术患者的临床资料进行分析,找出SSI的危险因素,根据分析结果制定干预措施。结果 524例患者术后SSI发生率为3.63%(19/524)。经logistic多因素回归分析发现ASA评分(OR=6.297,95%CI:1.599-24.806)、慢性病(OR=3.876,95%CI:1.194-12.579)、术前血糖值(OR=5.722,95%CI:1.172-18.942)和术中失血量(OR=3.567,95%CI:1.088-12.579)是术后发生SSI的独立危险因素。采取综合干预措施后SSI发生率为1.02%(3/295)。结论确定脊柱内固定手术患者发生SSI的危险因素,针对性采取干预措施,有利于降低SSI发生率。
机构地区 江苏省中医院
出处 《公共卫生与预防医学》 2016年第1期108-110,共3页 Journal of Public Health and Preventive Medicine
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