耳鼻喉术后感染因素的探讨

Discussion on the infection factors after ENT surgery

目的探讨耳鼻喉疾病患者术后感染的相关因素。方法选取2016年12月~2017年6月我院耳鼻喉科患者96例,治疗方案为手术治疗,统计分析患者术后感染情况,相关因素包括年龄、性别、感染部位、住院时间、手术持续时间、抗生素使用情况等。依据分析情况进行相应临床诊疗操作。结果选取的96例患者发生感染6例,感染率为6.25%。其中男女各3例,感染率为6.52%和6.00%。按年龄分组发现≥45岁和<45岁两组均有3例,感染率为5.36%和7.50%。术后发生呼吸系统、消化系统、泌尿系统和其他疾病造成的感染率为6.67%、7.69%、4.76%和5.26%,组间比较差异均无统计学意义(P>0.05);按手术时间、住院时间和术后抗生素使用情况对手术感染发生率进行因素间比较发现,三类因素组间差异均有统计学意义(P<0.05)。结论分析耳鼻喉科手术患者术后感染因素,针对性进行相关操作,正确合理使用抗生素,可缩短住院时间,提高治疗效果,值得临床推广。

Objective To investigate the related factors of postoperative infection in the patients with otolaryngological diseases. Methods 96 patients in the E.N.T. Department in our hospital from December 2016 to June 2017 were se- lected. The treatment protocol was surgical treatment. The postoperative infection was statistically analyzed. Relevant factors included age, sex, site of infection, length of stay, duration of surgery, use of antibiotics and more. According to the analysis, the corresponding clinical diagnosis and treatment operations were carried out. Results Among 96 patients who were selected, 6 patients were infected, with the infection rate of 6.25%. There were 3 males and females, with in- fection rates of 6.52% and 6.00%. By age groups, it was found that there were 3 cases in both groups in the patients over 45 years of age and less than 45 years of age, with the infection rate of 5.36% and 7.50%. Infections rates of post- operative respiratory, digestive, urinary and other diseases were 6.67%, 7.69%, 4.76% and 5.26% respectively. Data comparison found no statistically significant differences between groups（P〉0.05）; according to the operation time, length of stay and postoperative antibiotic use, the incidence rate of surgical infections was compared between groups, and the differences of three factors were found statistically significantly different（P〈0.05）. Conclusion The postoperative infection factors for the patients receiving E.N.T. surgery is analyzed. Relevant procedures are carried out pertinently, and the antibiotics is used reasonably, which can shorten the length of hospital stay and improve the curative effect, which is worthy of clinical promotion.