国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2015年
6期
801-804
,共4页
髋关节置换%医院感染%危险因素%预防
髖關節置換%醫院感染%危險因素%預防
관관절치환%의원감염%위험인소%예방
Hip replacement%Nosocomial infection%Risk factors%Prevention
目的 了解分析髋关节置换术后患者医院感染情况及相关危险因素,为探究预防对策提供依据.方法 采用回顾性调查分析方法,收集我院骨外科2011年1月至2013年12月行髋关节置换术312例患者的临床资料及感染监测资料,对医院感染率、感染部位分布及相关危险因素、病原菌等采用SPSS17.0统计软件包进行统计分析.结果 312例髋关节置换术患者中,术后发生医院感染13例,感染率4.17％.13例医院感染病例中,感染部位以呼吸道为主,占46.15％,其次为泌尿道、手术切口、软组织感染,分别占23.07％、15.39％、15.39％.对312例手术患者进行单因素分析比较,发现年龄＞ 60岁、合并有慢性病史、术时＞1.5h、留置尿管＞3d等对感染发生有明显影响(P＜ 0.05).检出各类病原菌9株,以革兰氏阴性菌为主占66.67％,革兰氏阳性菌占33.33％.结论 通过了解髋关节置换术后患者发生医院感染的相关危险因素及病原菌的耐药监测,采取针对性防控,以减少医院感染,对提高医疗质量有重要的临床意义.
目的 瞭解分析髖關節置換術後患者醫院感染情況及相關危險因素,為探究預防對策提供依據.方法 採用迴顧性調查分析方法,收集我院骨外科2011年1月至2013年12月行髖關節置換術312例患者的臨床資料及感染鑑測資料,對醫院感染率、感染部位分佈及相關危險因素、病原菌等採用SPSS17.0統計軟件包進行統計分析.結果 312例髖關節置換術患者中,術後髮生醫院感染13例,感染率4.17％.13例醫院感染病例中,感染部位以呼吸道為主,佔46.15％,其次為泌尿道、手術切口、軟組織感染,分彆佔23.07％、15.39％、15.39％.對312例手術患者進行單因素分析比較,髮現年齡＞ 60歲、閤併有慢性病史、術時＞1.5h、留置尿管＞3d等對感染髮生有明顯影響(P＜ 0.05).檢齣各類病原菌9株,以革蘭氏陰性菌為主佔66.67％,革蘭氏暘性菌佔33.33％.結論 通過瞭解髖關節置換術後患者髮生醫院感染的相關危險因素及病原菌的耐藥鑑測,採取針對性防控,以減少醫院感染,對提高醫療質量有重要的臨床意義.
목적 료해분석관관절치환술후환자의원감염정황급상관위험인소,위탐구예방대책제공의거.방법 채용회고성조사분석방법,수집아원골외과2011년1월지2013년12월행관관절치환술312례환자적림상자료급감염감측자료,대의원감염솔、감염부위분포급상관위험인소、병원균등채용SPSS17.0통계연건포진행통계분석.결과 312례관관절치환술환자중,술후발생의원감염13례,감염솔4.17％.13례의원감염병례중,감염부위이호흡도위주,점46.15％,기차위비뇨도、수술절구、연조직감염,분별점23.07％、15.39％、15.39％.대312례수술환자진행단인소분석비교,발현년령＞ 60세、합병유만성병사、술시＞1.5h、류치뇨관＞3d등대감염발생유명현영향(P＜ 0.05).검출각류병원균9주,이혁란씨음성균위주점66.67％,혁란씨양성균점33.33％.결론 통과료해관관절치환술후환자발생의원감염적상관위험인소급병원균적내약감측,채취침대성방공,이감소의원감염,대제고의료질량유중요적림상의의.
Objective To study the current situation of nosocomial infection and relevant risk factors in patients after hip replacement,to provide theoretical evidence for nosocomial infection prevention.Method Retrospective investigation was used to analyze nosocomial infection,distribution of infection site and relevant risk factors and pathogenic bacteria of 312 in-patients who underwent hip replacement surgery in orthopedic surgery from January 2011 to December 2013.Results 13 cases had postoperative infection in 312 patients who underwent hip replacement surgery,with the infection rate of 4.17％.The common infection site was respiratory tract (46.15％),followed by urinary tract (23.07％),operative incision (15.39％)and soft tissue (15.39％).Single factor analysis showed that age over 60 years old,chronic disease history,operation time over 1.5 hours,indwelling catheter time over 3 days had obvious effects on infection (P＜0.05).Most of the detected pathogens were gram-negative bacteria (66.67％),followed by gram-positive bacteria (33.33％).Conclusion It has great significance for improving healthcare's quality and ensuring safety to analyze drug resistance,monitor relevant risk factors of postoperative nosocomial infection and pathogens,and take scientific prevention to reduce the occurrence of nosocomial infection effectively.
