CAJ | 학술논문

目的：分析硬膜外麻醉患者术后并发感染的临床因素，探讨预防控制措施，为临床治疗提供参考依据。方法选择医院2011年12月－2013年12月于硬膜外麻醉下接受手术治疗的728例患者作为研究对象，回顾性分析该组患者的临床资料、感染相关性因素，并探讨对应的预防控制措施，采用SPSS 17．0软件进行统计分析。结果728例患者均顺利完成手术，术后发生感染42例，感染率为5．77％；logistic多因素分析提示穿刺次数、给药方式和医师经验是硬膜外麻醉术后感染的独立危险因素（P＜0．05）。结论穿刺点皮肤感染是硬膜外麻醉术后主要相关性感染，临床应加强相关感染因素预防，降低感染率。
목적：분석경막외마취환자술후병발감염적림상인소，탐토예방공제조시，위림상치료제공삼고의거。방법선택의원2011년12월－2013년12월우경막외마취하접수수술치료적728례환자작위연구대상，회고성분석해조환자적림상자료、감염상관성인소，병탐토대응적예방공제조시，채용SPSS 17．0연건진행통계분석。결과728례환자균순리완성수술，술후발생감염42례，감염솔위5．77％；logistic다인소분석제시천자차수、급약방식화의사경험시경막외마취술후감염적독립위험인소（P＜0．05）。결론천자점피부감염시경막외마취술후주요상관성감염，림상응가강상관감염인소예방，강저감염솔。
OBJECTIVE To analyze clinical factors of concurrent infections after epidural anesthesia ,and to investi‐gate prevention and control measures so as to provide clinical references for treatments and diagnosis .METHODS Totally 728 cases of patients who were received by our hospital from Dec .2011 to Dec .2013 and adopted epidural anesthesia before surgeries were selected as research objects .Clinical data and infection‐related factors of the pa‐tients were retrospectively analyzed and corresponding prevention and control measures were investigated .All data were analyzed by SPSS 17 .0 software .RESULTS All the 728 cases of patients were successfully operated with 42 cases infected ,which accounted for 5 .77% .Multivariate logistic analysis showed that the times of puncture , mode of administration and the experience of physicians were the independent risk factors for infections after epi‐dural anesthesia .CONCLUSION Skin infection on the puncture point is the major related infection after epidural anesthesia .It is necessary to strengthen the prevention for related infections so that the infection rate can be re‐duced .