医院管理论坛
醫院管理論罈
의원관이론단
Hospital Management Forum
2015年
9期
46-49
,共4页
人工关节%关节成形术%感染%危险因素
人工關節%關節成形術%感染%危險因素
인공관절%관절성형술%감염%위험인소
Artificial Joint%Arthroplasty%Infection%Risk Factors
目的探讨人工关节置换术术后导致手术部位感染的相关因素，以采取预防控制措施。方法选择2012年1月至2014年1月医院收治的639例初次人工关节置换手术患者作为研究对象，对术后手术部位感染发生危险因素进行多因素logistic回归分析。结果639例人工关节置换术后发生手术部位感染21例，感染率为3.20％；多因素logistic回归分析结果表明年龄[OR95% CI：1.319(1.146-1.701)]、糖尿病[OR95% CI：2.973(1.667-5.309)]、肥胖[OR95% CI：1.213(1.021-1.659)]、麻醉评分[OR95% CI：2.399(2.186-2.854)]、低蛋白血症[OR95% CI：3.213(1.751-5.895)]、低血红蛋白[OR95% CI：3.024(1.741-5.256)]、手术持续时间[OR95% CI：2.973(1.372-4.301)]是人工关节置换术术后手术部位感染的危险因素。结论年龄、糖尿病、肥胖、麻醉评分、低蛋白血症、低血红蛋白、手术持续时间均会增加人工关节置换术术后手术部位感染的风险。
目的探討人工關節置換術術後導緻手術部位感染的相關因素，以採取預防控製措施。方法選擇2012年1月至2014年1月醫院收治的639例初次人工關節置換手術患者作為研究對象，對術後手術部位感染髮生危險因素進行多因素logistic迴歸分析。結果639例人工關節置換術後髮生手術部位感染21例，感染率為3.20％；多因素logistic迴歸分析結果錶明年齡[OR95% CI：1.319(1.146-1.701)]、糖尿病[OR95% CI：2.973(1.667-5.309)]、肥胖[OR95% CI：1.213(1.021-1.659)]、痳醉評分[OR95% CI：2.399(2.186-2.854)]、低蛋白血癥[OR95% CI：3.213(1.751-5.895)]、低血紅蛋白[OR95% CI：3.024(1.741-5.256)]、手術持續時間[OR95% CI：2.973(1.372-4.301)]是人工關節置換術術後手術部位感染的危險因素。結論年齡、糖尿病、肥胖、痳醉評分、低蛋白血癥、低血紅蛋白、手術持續時間均會增加人工關節置換術術後手術部位感染的風險。
목적탐토인공관절치환술술후도치수술부위감염적상관인소，이채취예방공제조시。방법선택2012년1월지2014년1월의원수치적639례초차인공관절치환수술환자작위연구대상，대술후수술부위감염발생위험인소진행다인소logistic회귀분석。결과639례인공관절치환술후발생수술부위감염21례，감염솔위3.20％；다인소logistic회귀분석결과표명년령[OR95% CI：1.319(1.146-1.701)]、당뇨병[OR95% CI：2.973(1.667-5.309)]、비반[OR95% CI：1.213(1.021-1.659)]、마취평분[OR95% CI：2.399(2.186-2.854)]、저단백혈증[OR95% CI：3.213(1.751-5.895)]、저혈홍단백[OR95% CI：3.024(1.741-5.256)]、수술지속시간[OR95% CI：2.973(1.372-4.301)]시인공관절치환술술후수술부위감염적위험인소。결론년령、당뇨병、비반、마취평분、저단백혈증、저혈홍단백、수술지속시간균회증가인공관절치환술술후수술부위감염적풍험。
Objective To study the related factors of surgical site infection after artificial joint replacement in order to take corresponding prevention and control measures.Methods In total of 639 patients received artificial joint replacement from January 2012 to January 2014 were included in our study. Multiple logistic regression analysis was conducted to analyze the risk factors of postoperative surgical site infection.ResultsAmong the 639 cases, 21 patients had surgical site infections and the infection rate was 3.20%; According to the results of multivariate logistic regression analysis, age[OR95% CI:1.319(1.146-1.701)], diabetes[OR95% CI:2.973(1.667-5.309)], obesity[OR95% CI:1.213(1.021-1.659)], anesthesia score[OR95% CI:2.399(2.186-2.854)], hypoalbuminemia[OR95% CI:3.213(1.751-5.895)], low hemoglobin[OR95% CI:3.024(1.741-5.256)]and duration time of surgery[OR95% CI:2.973(1.372-4.301)]were the risk factors of surgical site infections.Conclusion Risk factors including age, diabetes, obesity, anesthesia score, hypoalbuminemia, low hemoglobin and duration time of surgery can increase the risk of surgical site infection after artificial joint replacement.
