中华医院感染学杂志
中華醫院感染學雜誌
중화의원감염학잡지
Chinese Journal of Nosocomiology
2015年
9期
2091-2093
,共3页
乳腺癌%改良根治术%感染%危险因素
乳腺癌%改良根治術%感染%危險因素
유선암%개량근치술%감염%위험인소
Breast cancer%Modified radical mastectomy%Infection%Risk factor
目的：分析乳腺癌改良根治术后手术切口及引流管感染的危险因素，为乳腺癌术后感染防治提供参考。方法回顾性分析212例行改良根治术治疗的乳腺癌患者临床资料，分析乳腺癌患者手术后切口及引流管感染的潜在危险因素。结果34例感染者检出病原菌42株，其中革兰阳性菌29株占69．05％，革兰阴性菌13株占30．95％；革兰阳性菌对万古霉素、利福平的敏感率分别为100．00％、95．45％；革兰阴性菌对亚胺培南敏感率为100．00％；患者合并糖尿病、体质量指数、接受辅助化疗、自然引流率、普通负压引流率、置管时间是发生医院感染的危险因素（P＜0．05）。结论乳腺癌改良根治术后切口及引流管感染的原因复杂，术前应积极控制患者血糖及体质量，合理选择引流方式，积极预防感染。
目的：分析乳腺癌改良根治術後手術切口及引流管感染的危險因素，為乳腺癌術後感染防治提供參攷。方法迴顧性分析212例行改良根治術治療的乳腺癌患者臨床資料，分析乳腺癌患者手術後切口及引流管感染的潛在危險因素。結果34例感染者檢齣病原菌42株，其中革蘭暘性菌29株佔69．05％，革蘭陰性菌13株佔30．95％；革蘭暘性菌對萬古黴素、利福平的敏感率分彆為100．00％、95．45％；革蘭陰性菌對亞胺培南敏感率為100．00％；患者閤併糖尿病、體質量指數、接受輔助化療、自然引流率、普通負壓引流率、置管時間是髮生醫院感染的危險因素（P＜0．05）。結論乳腺癌改良根治術後切口及引流管感染的原因複雜，術前應積極控製患者血糖及體質量，閤理選擇引流方式，積極預防感染。
목적：분석유선암개량근치술후수술절구급인류관감염적위험인소，위유선암술후감염방치제공삼고。방법회고성분석212례행개량근치술치료적유선암환자림상자료，분석유선암환자수술후절구급인류관감염적잠재위험인소。결과34례감염자검출병원균42주，기중혁란양성균29주점69．05％，혁란음성균13주점30．95％；혁란양성균대만고매소、리복평적민감솔분별위100．00％、95．45％；혁란음성균대아알배남민감솔위100．00％；환자합병당뇨병、체질량지수、접수보조화료、자연인류솔、보통부압인류솔、치관시간시발생의원감염적위험인소（P＜0．05）。결론유선암개량근치술후절구급인류관감염적원인복잡，술전응적겁공제환자혈당급체질량，합리선택인류방식，적겁예방감염。
OBJECTIVE To explore the risk factors for postoperative surgical site infections and drainage tube‐in‐duced infections in the patients undergoing modified radical mastectomy so as to provide guidance for prevention and treatment of the postoperative infections in the breast cancer patients .METHODS The clinical data of 212 breast cancer patients who underwent the modified radical mastectomy were retrospectively analyzed ,then the risk factors for the postoperative incision infections and drainage tube‐induced infections in the breast cancer patients were observed .RESULTS A total of 42 strains of pathogens have been isolated from the 34 patients with infec‐tions ,including 29 (69 .05% ) strains of gram‐positive bacteria and 13 (30 .95% ) strains of gram‐negative bacteri‐a .The drug susceptibility rates of the gram‐positive bacteria to vancomycin and rifampicin were 100 .00% and 95 .45% ,respectively ;the drug susceptibility rate of the gram‐negative bacteria to imipenem was 100 .00% .The risk factors for the nosocomial infections included the complication of diabetic mellitus ,body mass index ,adjuvant chemotherapy ,natural drainage rate ,ordinary vacuum drainage rate ,and catheter indwelling time (P< 0 .05) . CONCLUSION The risk factors for the postoperative incision infections and drainage tube‐induced infections in the patients undergoing modified radical mastectomy are complex .It is necessary to actively control the blood glucose and body mass index before the surgery and choose appropriate drainage mode so as to prevent the infections .
