口腔颌面外科术后感染相关因素分析

Factors of postoperative infection after oral and maxillofacial surgery and analysis of related factors

目的探讨口腔颌面外科患者术后医院感染相关因素的分析。方法自行设计表格,内容包括患者一般情况、住院天数、医院感染情况、感染部位;查阅出院病历,按表格逐项填写,对术后感染的病例进行分析,医院感染病例符合卫生部《医院感染诊断标准》。结果 2942例口腔颌面部外科手术住院患者中有120例发生医院感染,占4.11%;唇腭裂医院感染发生率最高占6.02%;感染部位以手术伤口为主,占35.00%;幼儿和老人是医院感染的易感人群,占5.00%和5.34%;全麻的感染率为4.25%,局麻为3.49%;住院时间与医院感染正相关。结论颌面外科住院患者发生医院感染以呼吸道感染为首位,应对其进行重点监控与研究。

OBJECTIVE To discuss the nosocomial infection factors for postoperative patients about oral and maxillofacial surgery.METHODS The self-designed form,the content of which included the general conditions of patients,length of hospital stay,the situation of infection in hospital and the site of infection was employed.The hospital medical records were check out,the designed form was filled out for analysis of postoperative infections and nosocomial infections in line with the Ministry of Health,＇Hospital Infection diagnostic criteria＇.RESULTS A total of 120 postoperative patients had nosocomial infection among 2942 cases of oral and maxillofacial surgery,accounting for 4.11%.The nosocomial infection of cleft lip and palate accounted for the highest infection rate of 6.02%.The infection sites were surgical wounds,accounting for 35.00%.Young children and the elderly were susceptible groups,accounting for 5.00% and 5.34%.The infection rate of anesthesia to general anesthesia was 4.25%,3.49% to local anesthesia.The length of hospital stay were positive related to infection.CONCLUSION The respiratory tract infection in patients about oral and maxillofacial surgery hospitalized is the most common.We should focus on the monitoring and the research about it.