胸外科手术患者医院感染易感因素的临床分析
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摘要
目的析胸外科手术患者术后发生医院感染的易感因素。方法该院2015年1月—2018年5月期间实施胸外科手术患者2 972例,其中方便选取发生院内感染129例,采取单因素/多因素Logistic回归分析探究医院感染发生的独立危险因素。结果该次研究中,发生院内感染的例数为129例,感染率为4.34%;感染部位包括下呼吸道、手术切口、胸膜腔、消化道及泌尿系统,占比分别为:81.40%、8.53%、6.98%、3.10%。经单因素/多因素Logistic回归分析发现,95%CI范围内OR值>1,表明年龄、吸烟(以200支为界)、手术时长、术后肺漏气时间、术后住院时间是感染发生的独立危险因素,差异有统计学意义(P<0.05)。结论外科手术患者医院感染的高危因素主要包括年龄、吸烟、手术时长、术后肺漏气时间、术后住院时间。医护人员需要根据易感因素做好相应的预防,从而使医院感染的发生率有效降低。
Objective To analyze the predisposing factors of postoperative hospital infection in patients undergoing thoracic surgery. Methods From January 2015 to May 2018, 2 972 patients underwent thoracic surgery, including 129 cases of nosocomial infection. Univariate/multivariate logistic regression analysis was used to investigate the independent risk factors of nosocomial infection convenient selected. Results In the sub-study, the number of cases of nosocomial infection was 129,and the infection rate was 4.34%. The infection sites included lower respiratory tract, surgical incision, pleural cavity, digestive tract and urinary system, accounting for 81.40% and 8.53%, 6.98%, 3.10%. Univariate/multivariate logistic regression analysis found that the OR value was >1 in the 95% CI range, indicating age, smoking(with a 200 branch), length of surgery,postoperative lung leak time, and postoperative hospital stay were infections. The independent risk factors occurred, the difference was statistically significant(P<0.05). Conclusion The risk factors for nosocomial infection in surgical patients include age, smoking, length of surgery, postoperative lung leak time, and postoperative hospital stay. Health care workers need to be prevented according to the predisposing factors, so that the incidence of nosocomial infections is effectively reduced.
Objective To analyze the predisposing factors of postoperative hospital infection in patients undergoing thoracic surgery. Methods From January 2015 to May 2018, 2 972 patients underwent thoracic surgery, including 129 cases of nosocomial infection. Univariate/multivariate logistic regression analysis was used to investigate the independent risk factors of nosocomial infection convenient selected. Results In the sub-study, the number of cases of nosocomial infection was 129,and the infection rate was 4.34%. The infection sites included lower respiratory tract, surgical incision, pleural cavity, digestive tract and urinary system, accounting for 81.40% and 8.53%, 6.98%, 3.10%. Univariate/multivariate logistic regression analysis found that the OR value was >1 in the 95% CI range, indicating age, smoking(with a 200 branch), length of surgery,postoperative lung leak time, and postoperative hospital stay were infections. The independent risk factors occurred, the difference was statistically significant(P<0.05). Conclusion The risk factors for nosocomial infection in surgical patients include age, smoking, length of surgery, postoperative lung leak time, and postoperative hospital stay. Health care workers need to be prevented according to the predisposing factors, so that the incidence of nosocomial infections is effectively reduced.
引文
[1]辛海龙.普胸外科手术患者医院感染易感因素的临床分析[J].临床医药文献电子杂志,2018,5(21):33-34.
[2]张宁宁.浅论胸外科手术患者发生医院感染的因素及护理[J].中国医药指南,2018,16(1):262-263.
[3]曹国平.普胸外科手术患者医院感染易感因素的临床分析[J].临床医药文献电子杂志,2017,4(84):16462-16463,16465.
[4]于耀洋.关于普胸外科手术患者医院感染因素分析[J].中国实用医药,2015,10(35):276-277.
[5]张成,王文涛,郭金瑞.探讨普胸外科手术患者医院感染的易感因素[J].临床医药文献电子杂志,2015,2(5):873,876.
[6]张跃东.关于普胸外科手术患者医院感染易感因素调查分析[J].中国实用医药,2014,9(27):263-264.
[7]梁儒栋.普胸外科手术患者医院感染易感因素的临床分析[J].中国医药指南,2013,9(25):130-131.
[8]张国恩.普胸外科手术患者发生感染的危险因素分析[J].基层医学论坛,2015,19(14):1907-1908.
[9]唐中明,韦鸣,廖勇.胸外科手术患者医院感染易感因素的临床分析[J].中华医院感染学杂志,2014,24(9):2239-2240,2243.
[10]杨春林.外科手术伤口感染易感因素的预防及护理[J].中国社区医师,2014,30(5):119-120.
[2]张宁宁.浅论胸外科手术患者发生医院感染的因素及护理[J].中国医药指南,2018,16(1):262-263.
[3]曹国平.普胸外科手术患者医院感染易感因素的临床分析[J].临床医药文献电子杂志,2017,4(84):16462-16463,16465.
[4]于耀洋.关于普胸外科手术患者医院感染因素分析[J].中国实用医药,2015,10(35):276-277.
[5]张成,王文涛,郭金瑞.探讨普胸外科手术患者医院感染的易感因素[J].临床医药文献电子杂志,2015,2(5):873,876.
[6]张跃东.关于普胸外科手术患者医院感染易感因素调查分析[J].中国实用医药,2014,9(27):263-264.
[7]梁儒栋.普胸外科手术患者医院感染易感因素的临床分析[J].中国医药指南,2013,9(25):130-131.
[8]张国恩.普胸外科手术患者发生感染的危险因素分析[J].基层医学论坛,2015,19(14):1907-1908.
[9]唐中明,韦鸣,廖勇.胸外科手术患者医院感染易感因素的临床分析[J].中华医院感染学杂志,2014,24(9):2239-2240,2243.
[10]杨春林.外科手术伤口感染易感因素的预防及护理[J].中国社区医师,2014,30(5):119-120.