感染可能性评分与降钙素原及C-反应蛋白在预测会阴侧切术后切口感染中的应用价值研究

发布时间：2018-03-12 09:32

本文选题：切口感染　切入点：会阴侧切术　出处：《中华医院感染学杂志》2017年20期 　论文类型：期刊论文

【摘要】：目的探讨感染可能性评分(IPS)、降钙素原(PCT)、C-反应蛋白(CRP)在预测会阴侧切术后切口感染中的应用价值,为会阴侧切术后切口感染的防治提供参考。方法选取2016年1月-12月医院住院分娩的临产产妇200例,术前行IPS评分,测定血PCT与CRP,观察会阴侧切术后切口感染率,切口感染者采集局部分泌物行细菌培养。结果 200例产妇术后发生切口感染18例,感染率为9.00%,其中13例培养出病原菌,病原菌培养阳性率为72.22%,培养出病原菌13株,以大肠埃希菌7株为主,占53.85%;感染产妇IPS、PCT、CRP分别为(8.12±4.20)分、(0.06±0.03)ng/ml、(6.43±1.61)mg/L,高于非感染产妇的(5.10±2.41)分、(0.04±0.01)ng/ml、(5.19±0.97)mg/L,差异有统计学意义(P0.05);术前IPS低风险与高风险产妇术后切口感染率分别为4.22%、32.35%,术前PCT阴性与阳性产妇术后切口感染率分别为2.78%、25.00%,术前CRP阴性与阳性患者术后切口感染率分别为4.76%、16.22%,差异有统计学意义(P0.05)。结论会阴侧切术前IPS评分高、PCT和CRP阳性产妇术后发生切口感染的风险性明显增高,IPS、PCT和CRP用于预测会阴侧切术后切口感染具有一定临床价值。
[Abstract]:Objective to evaluate the application of IPSU and procalcitonin (PCT) C-reactive protein (CRP) in the prediction of incision infection after lateral perineal resection. Methods from January 2016 to December, 200 cases of parturient who were hospitalized and delivered in hospital were selected. IPS score was performed before operation, blood PCT and PCT were measured, and the infection rate of incision after lateral perineal resection was observed. Results 18 cases of incision infection occurred after operation, the infection rate was 9.00%, among them 13 cases were cultured, the positive rate of pathogen culture was 72.22%, and 13 strains of pathogenic bacteria were cultured. Seven strains of Escherichia coli were dominant. The CRP of infected parturient was 8.12 卤4.20) 0.06 卤0.03ng / ml 6.43 卤1.61mg / L, 0.04 卤0.01ngml / L, 0.04 卤0.01ngml / ml 5.19 卤0.97mg / L respectively, the infection rate of preoperation IPS low risk and high risk parturient was 4.22g / L, and PCT was 32.35g / L, respectively. The infection rate was 2.78% and 25.00% respectively. The postoperative incision infection rate of CRP negative and positive patients was 4.76 and 16.222.Conclusion there is a significant difference in the risk of postoperative incision infection in women with high IPS score before perineal lateral resection and CRP positive women. It is of clinical value to predict incision infection after perineal lateral resection by IPST and CRP.
【作者单位】：黔西南民族职业技术学院护理系;黔西南州人民医院药剂科;黔南民族医学高等专科学校医学系;重庆医科大学临床学院麻醉系;第三军医大学附属西南医院麻醉科;
【分类号】：R714.3

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