新生儿手术部位感染相关危险因素研究

发布时间：2018-07-31 16:56

【摘要】：目的探讨新生儿术后发生手术部位感染的相关因素,为制定预防控制措施提供依据。方法对2012年6月-2016年5月新生儿病区所有手术患儿进行前瞻性队列研究,对手术部位感染的相关因素进行多因素Logistic回归分析。结果 2 366例新生儿发生手术部位感染62例,感染率为2.62%;多因素Logistic回归分析结果显示10 min Apgar评分8~10分(OR=0.237,95%CI:0.084~0.668)是新生儿手术部位感染的保护因素,早产儿(OR=2.912,95%CI:1.103~5.435)、ASA评分超过Ⅲ级(OR=1.992,95%CI:1.174~3.379)、手术持续时间超过180 min(OR=2.837,95%CI:1.540~5.228)及留置引流管(OR=2.573,95%CI:1.401~4.724)是新生儿手术部位感染的危险因素。结论应针对上述危险因素采取相应的干预措施,加强高危患儿的围手术期的管理,降低新生儿术后手术部位感染的发生率。
[Abstract]:Objective to explore the related factors of postoperative infection in neonates and to provide evidence for prevention and control. Methods A prospective cohort study was carried out on all children undergoing operation in neonatal ward from June 2012 to May 2016. Multivariate Logistic regression analysis was performed on the related factors of surgical site infection. Results 62 cases of surgical site infection occurred in 2 366 neonates, the infection rate was 2.62%, the results of multivariate Logistic regression analysis showed that the 10 min Apgar score was 8 ~ 10 (ORX 0.237% 95 CI 0. 084 0. 668) was the protective factor of neonatal operative site infection. Premature infants (OR2.91295 CIW 1.103 / 5.435) had ASA scores above grade 鈪，

本文编号：2156219