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髋关节置换术手术部位感染的因素 被引量:2

Factors of surgical site infection in hip replacement
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摘要 目的通过对德州市全髋关节置换手术部位感染的相关数据的分析,探讨髋关节置换手术部位感染的危险因素,为降低髋关节置换术手术部位感染提供参考。方法对德州市各医院感染监控管理系统进行调研,选取2011年1月至2014年4月本市范围内的20所二甲以上医院的714例全髋关节置换术患者为研究对象,对患者的手术部位感染相关因素进行单因素和多因素回归性分析。结果所选714例患者经过首次髋关节置换术治疗后,16例发生手术部位感染,发生率为2.24%。单因素分析结果显示医疗机构级别、术后转入重症监护室与否、糖尿病与否、术前住院时间、手术过程持续时间、住院天数是感染发生的相关因素(P<0.05或P<0.01);多因素logistic回归分析结果表明,术后患者进入重症监护室和患有糖尿病是影响髋关节置换术手术部位感染的独立危险因素(P均<0.01)。结论髋关节置换术后手术部位感染的影响因素主要体现在患者的因素、术后监护因素及医院因素等方面,采取目标性监测措施对减轻患者手术部位感染造成的经济压力十分重要。综合性的预防措施和及时处理是降低发生率的关键。 Objective To study the risk factors of surgical site infection of hip replacement by analyzing the related data of total hip replacement in Dezhou city in order to provide a basis for reducing surgical site infection of hip replacement. Methods With the help of infection control management system,714 patients of total hip replacement from 20 hospitals a- bove grade 2 in Dezhou city between January 2011 and April 2014 were selected as research objects. Single factor analysis and multiple factors regression analysis were performed to analyze the related factors of surgical site infection. Results Af- ter hip replacement, surgical site infection occurred in 16 cases, and the occurring rate of surgical site infection was 2.24% ( 16/714). Single factor analysis showed that medical institutes levels,whether to transfer into the intensive care unit after operation, whether to suffer from diabetes, hospital stay before operation, operating time and hospitalization stay were the risk factors associated with surgical site infection( P 〈 0. 05 or P 〈 0. 01 ). Multiple factors Logistic regression analysis showed that whether to transfer into the intensive care unit after operation, whether to suffer from diabetes were the independent risk factors influencing surgical site infection( all P 〈 0. 01 ). Conclusion The influencing factors of surgical site infection of hip replacement mainly reflect in the patients' factors,monitoring factors after operation and hospital factors. Adopting ob- jective monitoring measures is very important for reducing economic stress caused by surgical site infection. Comprehensive preventive measures and timely treatment are the keys for reducing occurrence rate of infection.
出处 《中国临床研究》 CAS 2015年第10期1298-1301,共4页 Chinese Journal of Clinical Research
关键词 髋关节置换术 手术部位感染 多因素LOGISTIC回归分析 Hip replacement Surgical site infection Multiple factors Logistic regression analysis
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