植入物手术预防医院感染的研究

Prevention of nosocomial infections after implant surgery

目的探讨植入物手术综合管理对预防感染的效果,以提高植入物手术质量。方法以医院实施植入物手术综合管理之后(2013年1-9月)498例植入物手术患者为观察组,以实施植入物手术综合管理之前(2012年1-12月)接受植入物手术患者536例为对照组,使用SPSS 19.0软件进行统计分析,组间计数采用χ2检验,对比两组术后感染发生率。结果实施植入物手术综合管理之后,植入物感染率从2.24%下降至0.40%、伤口感染率从7.09%下降至3.21%;实施综合管理前后植入物感染率、伤口感染率差异有统计学意义(P<0.05);实施综合管理前、后内固定手术植入物感染率分别为2.80%和0.35%,差异有统计学意义(P<0.05)。结论植入物手术综合管理能降低术后感染率,提高手术治疗质量。

OBJECTIVE To explore the effect of comprehensive management of implant surgery on prevention of infections so as to improve the quality of the implant surgery. METHODS Totally 498 patients who underwent the implant surgery after the comprehensive management （ from Jan to Sep 2013）＇were chosen as the observation group, while 536 patients who received the implant surgery before the comprehensive management （ from Jan to Dec 2012） were set as the control group, then the statistical analysis was performed with the use of SPSS19.0 software, the chi-square test was conducted for the count data, and the incidence of postoperative infections was observed and compared between the two groups. RESULTS After the implementation of comprehensive management of implant surgery, the infection rate of implants decreased from 2.24% to 0. 400//00, and the incidence of wound infections dropped from 7. 09% to 3. 21%; the difference in the infection rate of implants or the incidence of wound infections between before and after the implementation of comprehensive management was statistically significant（P^0. 05）; the infection rate of the internal fixation implants was 2. 800//00 before the implementation of comprehensive management, 0.35% after the implementation of comprehensive management, with statistical significance （P%0. 05）. CONCLUSION The comprehensive management of the implant surgery can reduce the incidence of postoperative infections and improve the quality of surgical treatment.