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目的探讨心脏外科术后医院感染及其危险因素,为制定防控措施提供参考。方法回顾性分析2012年6月至2014年6月在我院行心脏外科手术治疗的60例患者临床资料,对医院感染发生率及其危险因素进行分析,并提出防控措施。结果 60例患者发生院内感染9例,感染率15.0%,其中年龄≥55岁、手术时间>5h、气管插管>3d、留置导尿管>5d、抗生素联用、呼吸机使用>5d及输血量>400ml时感染率显著均高于非感染组(P<0.05),是引起心外科术后感染的危险因素。结论心脏术后医院感染发生率高,危险因素多。医院应针对高危因素制定相应的预防和控制措施,消除医院感染危险因素,促进康复。
Objective To investigate the postoperative nosocomial infection and its risk factors after cardiac surgery in order to provide reference for making prevention and control measures. Methods The clinical data of 60 patients undergoing cardiac surgery from June 2012 to June 2014 in our hospital were retrospectively analyzed. The incidence and risk factors of nosocomial infection were analyzed and the prevention and control measures were proposed. Results Ninety-four nosocomial infections occurred in 60 patients, the infection rate was 15.0%, of which age ≥55 years, operation time> 5 hours, intubation> 3d, indwelling catheter> 5 days, combination of antibiotics, ventilator use> 5 days and blood transfusion The infection rate was significantly higher than that of the non-infected group (P <0.05), which was the risk factor of postoperative cardiac surgery. Conclusions The incidence of nosocomial infection after cardiac surgery is high, with many risk factors. The hospital should formulate corresponding prevention and control measures according to the risk factors, eliminate the risk factors of nosocomial infection and promote rehabilitation.