中国医师进修杂志
中國醫師進脩雜誌
중국의사진수잡지
CHINESE JOURNAL OF POSTGRADUATES OF MEDICINE
2011年
z2期
6-9
,共4页
关节成形术,置换,膝%院内感染%多因素分析
關節成形術,置換,膝%院內感染%多因素分析
관절성형술,치환,슬%원내감염%다인소분석
Arthroplasty,replacement,knee%Nosocomial infection%Multivariate analysis
目的 调查全膝关节置换术患者院内感染情况,分析该类患者院内感染的易感因素及可能的预防措施.方法 回顾性分析行全膝关节置换术患者80例(80膝),按照有无院内感染分为院内感染组(A组)、无院内感染组(B组),比较两组患者的年龄、基础疾病情况、血红蛋白、血清白蛋白、手术时间、输血量、尿管留置时间、抗生素使用时间,同时对发生院内感染的患者统计院内感染的部位、病原菌及转归情况.结果80例患者发生院内感染10例,感染部位依次为泌尿系5例,上呼吸道4例,皮肤1例,发生率为12.5％(10/80),院内感染组较无院内感染组患者年龄高,血红蛋白、白蛋白低,输血量多,手术时间、尿管留置时间长,差异均有统计学意义(P＜0.01或＜0.05),两组抗生索使用时间、基础疾病比较差异无统计学意义(P＞0.05).结论 全膝关节置换术患者院内感染发生是多因素所致,年龄、低蛋白血症、贫血、手术时间以及尿管的长期留置与院内感染密切相关.
目的 調查全膝關節置換術患者院內感染情況,分析該類患者院內感染的易感因素及可能的預防措施.方法 迴顧性分析行全膝關節置換術患者80例(80膝),按照有無院內感染分為院內感染組(A組)、無院內感染組(B組),比較兩組患者的年齡、基礎疾病情況、血紅蛋白、血清白蛋白、手術時間、輸血量、尿管留置時間、抗生素使用時間,同時對髮生院內感染的患者統計院內感染的部位、病原菌及轉歸情況.結果80例患者髮生院內感染10例,感染部位依次為泌尿繫5例,上呼吸道4例,皮膚1例,髮生率為12.5％(10/80),院內感染組較無院內感染組患者年齡高,血紅蛋白、白蛋白低,輸血量多,手術時間、尿管留置時間長,差異均有統計學意義(P＜0.01或＜0.05),兩組抗生索使用時間、基礎疾病比較差異無統計學意義(P＞0.05).結論 全膝關節置換術患者院內感染髮生是多因素所緻,年齡、低蛋白血癥、貧血、手術時間以及尿管的長期留置與院內感染密切相關.
목적 조사전슬관절치환술환자원내감염정황,분석해류환자원내감염적역감인소급가능적예방조시.방법 회고성분석행전슬관절치환술환자80례(80슬),안조유무원내감염분위원내감염조(A조)、무원내감염조(B조),비교량조환자적년령、기출질병정황、혈홍단백、혈청백단백、수술시간、수혈량、뇨관류치시간、항생소사용시간,동시대발생원내감염적환자통계원내감염적부위、병원균급전귀정황.결과80례환자발생원내감염10례,감염부위의차위비뇨계5례,상호흡도4례,피부1례,발생솔위12.5％(10/80),원내감염조교무원내감염조환자년령고,혈홍단백、백단백저,수혈량다,수술시간、뇨관류치시간장,차이균유통계학의의(P＜0.01혹＜0.05),량조항생색사용시간、기출질병비교차이무통계학의의(P＞0.05).결론 전슬관절치환술환자원내감염발생시다인소소치,년령、저단백혈증、빈혈、수술시간이급뇨관적장기류치여원내감염밀절상관.
Objective To survey the status of nosocomial infection after total knee arthroplasty,analyze the risk factors of nosocomial infection and possible prevention measures.Methods Datas were collected retrospectively on 80pmients (80 knee joints) who were treated by total knee arthrophsly,the patients were divided into two groups,group A with nosocomial infection and group B without nosocomial infection.Statistic patient's age,basic diseases situation,preoperative hemoglobin content,serum albumin,operation time,blood transfusions,indwelling urethral catheter time,antibiotic treatment time of the two groups.And study the location,pathogenic bacteria and outcomes of the nosocomial infection patients.Results 10 patients occured nosocomial infection,the infected site in turn is urinary tract in 5 cases,respiratory tract 4 cases,skin infections in 1 case,the incidence of nosocomial infection is 12.5％.In noscomial infection group,patient's age,blood transfusions,operation time and postoperative indwelling urinary canal time significantly higher than no nosocomial infection group,anemia,hypoalbuminemia have relevance of nosocomial infection,there is no difference between the two groups in basic diseases situation.Conclusions The nosocomial infection after total knee arthroplasty caused by multiple factors,patient's age,hypoalbuminemia,anemia,operation time and indwelling urethral catheter time is closely related with nosocomial infection
