心脏起搏器植入术后患者发生感染的多因素分析

MULTI-FACTOR ANALYSIS ON INFECTION IN PATIENTS AFTER IMPLANTATION OF HEART PACEMAKER

目的：探讨心脏起搏器植入术后患者发生感染的多因素分析。方法：选取2007年3月至2015年3月在广西河池市人民医院心内科完成心脏起搏器植入术的患者163例,对其进行术后随访;在随访过程中发现一系列临床症状并对其病因进行统计分析,以及对术后发生感染患者严格监控并进行积极治疗,并分析其发生感染的危险因素。结果：163例心脏起搏器植入术患者中男96例,女67例;年龄59～83岁,平均（68.2±15.7）岁。163例患者中共8例（4.91%）患者发生感染,多因素Logistic回归分析显示：合并糖尿病、手术次数〉2、手术时间〉3h、血肿、切口发生脂肪液化等均为患者发生感染的独立危险因素（P〈0.05）。结论：合并糖尿病、血肿、医源性感染等是心脏起搏器植入术后患者发生感染的危险因素,且患者术后按时复查及定时随访是提高其生活质量的必要手段。

Objective：To explore factors causing infection in the patients after the implantation of heart pacemaker.Methods：163patients（96 males,67 females,aged 68.2±15.7）who underwent heart pacemaker implantation from March 2007 to March 2015 were recruited in this study.During the follow-up study,a series of clinical symptoms were recorded,and the causative factors were identified and analyzed with the use of SPSS 16.0.Results：Among 163 patients,8cases（4.91%）suffered from infection.The multivariate logistic regression analysis showed that the risk factors for the postoperative infections in the patients undergoing the heart pacemaker implantation included the complication of diabetic mellitus,multiple operations（〉2）,longer operation time（〉3h）,hematoma and fat liquefaction of incision（P〈0.05）.Conclusion：Diabetic mellitus,hematoma and the iatrogenic infections are the risk factors leading to the postoperative infections in the patients with implantation of permanent pacemaker.Timely re-examination and regular follow-up are necessary methods to improve the quality of life of patients.