摘要
目的:分析心脏搭桥手术患者术后感染的影响因素与预防措施。方法:回顾性分析2010年10月至2017年10月的1 018例心脏搭桥手术患者的临床资料,分析心脏搭桥手术患者术后发生感染的影响因素。结果:本组1 018例患者,发生术后感染31例,未发生术后感染987例,心脏搭桥手术患者的术后感染风险为3.0%(31/1 018);年龄≥60岁、有合并症、术中出血量≥1 200 mL、手术时间≥5 h、术前住院时间≥7 d、胸腔引流时间≥3 d、气管插管时间≥3 d、导尿管留置时间≥3 d、术后心功能分级≥Ⅲ级及未预防性使用抗生素的患者感染发生率明显较高,且以上因素是心脏搭桥手术患者术后感染的独立危险因素,差异均有统计学意义(P<0.05);不同性别、手术时间及是否为急诊手术患者的感染发生率比较,差异无统计学意义(P>0.05)。结论:年龄、有合并症、术中出血量、手术时间、术前住院时间、胸腔引流时间、气管插管时间、导尿管留置时间、术后心功能分级及未预防性使用抗生素均是心脏搭桥手术患者术后感染的独立危险因素。针对术后感染的影响因素,可采取积极有效的干预措施,以降低术后感染的风险。
Objective: To investigate postoperative infection factors and preventive measures in patients with heart bypass surgery.Methods: The clinical data of 1018 patients undergoing bypass surgery in Fushun central hospital from October 2010 to October 2017 were retrospectively analyzed. Then, the influencing factors of postoperative infections were analyzed. Results: In this group of 1018 patients, 31 patients suffered from the postoperative infections, while 987 patients did not experience these events. The risk of postoperative infections in the patients undergoing bypass surgery was 3.0%(31/1018). For the patients with age ≥ 60 years old, with comorbidities, intraoperative blood loss ≥ 1200 mL, operation time ≥ 5 h, preoperative hospital stay ≥ 7 d, chest drainage time ≥ 3 d, tracheal intubation time ≥ 3 d, catheter indwelling time≥ 3 d, postoperative cardiac function grade ≥ III and non-prophylactic antibiotics use, the incidence of infection was significantly higher. All of the above factors were the independent risk factors of postoperative infections, and the differences were statistically significant(P>0.05). There were no significant differences in the infection incidence among the patients with different gender, operation time and emergency operation or not(P>0.05).Conclusions: Age, comorbidity, intraoperative blood loss, operation time, preoperative hospital stay, chest drainage time, tracheal intubation time,catheter indwelling time, postoperative cardiac function grade, and non-prophylactic antibiotics use are the independent risk factors of postoperative infections in the patients with heart bypass surgery. For these, the active and effective interventions should be taken to reduce the risk of postoperative infections.
作者
熊英
徐丹
郭凯红
XIONG Ying;XU Dan;GUO Kaihong(Fushun Central Hospital, Fushun 113000 Liaoning, China)
出处
《中国民康医学》
2019年第5期1-3,共3页
Medical Journal of Chinese People’s Health
关键词
心脏搭桥手术
术后感染
危险因素
预防
Heart bypass surgery
Postoperative infection
Risk factor
Prevention
