口腔颌面部恶性肿瘤患者术后术区感染危险因素分析

发布时间：2018-03-02 12:25

  本文选题：口腔颌面部恶性肿瘤　切入点：术后感染　出处：《新疆医科大学》2017年硕士论文　论文类型：学位论文

【摘要】：目的:分析口腔颌面部恶性肿瘤患者术后术区感染的危险因素。方法:收集2005年1月-2016年12月在新疆医科大学第一附属医院口腔颌面外科进行口腔颌面恶性肿瘤手术患者的临床资料,分析发生术后术区感染的可能因素,采用SPSS18.0进行数据统计。计量资料统计分析采用均数±标准差,计数资料采取x2检验。结果:362例口腔颌面恶性肿瘤患者中,发生术后术区感染43例(12.0%)。分析结果显示,术前白蛋白值、口腔卫生、术后置管时间、住院时间、手术时间、术中出血量、围手术期用药及手术方式是口腔颌面部恶性肿瘤患者发生术后术区感染的危险因素。结论:术前加强患者营养以改善患者术前白蛋白值,尽可能缩短手术时间,改善手术方式,减少术中出血,加强术后护理,减少患者术后住院时间,合理使用抗菌药物是降低口腔颌面部恶性肿瘤患者术后创口感染的重要措施。
[Abstract]:Objective: to analyze the risk factors of postoperative infection in patients with malignant tumor of oral and maxillofacial region. Methods: from January 2005 to December 2016, we collected oral and maxillofacial malignant tumors from January 2005 to December 2016 in the Department of Oral and Maxillofacial surgery, the first affiliated Hospital of Xinjiang Medical University. Clinical data of patients undergoing surgery, The possible factors of postoperative infection were analyzed, and the data were analyzed by SPSS18.0. The mean 卤standard deviation was used in the statistical analysis of measurement data, and the count data were analyzed by x2 test. Results among 362 patients with oral and maxillofacial malignant tumor, Postoperative infection occurred in 43 cases of postoperative infection. The results showed that the preoperative albumin value, oral hygiene, postoperative tube placement time, hospital stay, operation time, intraoperative blood loss, Perioperative medication and surgical methods are the risk factors for postoperative infection in patients with oral and maxillofacial malignant tumors. Conclusion: the preoperative nutrition should be strengthened to improve the preoperative albumin value, to shorten the operation time and to improve the operation mode. Reducing intraoperative bleeding, strengthening postoperative nursing care, reducing postoperative hospitalization time and rational use of antimicrobial agents are important measures to reduce postoperative wound infection in patients with malignant tumor of oral and maxillofacial region.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R739.8

【参考文献】

相关期刊论文 前10条

1 欧洪波;王启晋;;口腔颌面外科手术后感染病原菌分布及相关因素分析[J];海南医学;2016年08期

2 杨文宾;李春洁;李龙江;生苏睿;齐舒群;潘剑;;口腔颌面部肿瘤患者术后感染细菌及耐药性分析[J];上海口腔医学;2015年05期

3 钟广军;;口腔颌面外科手术术后感染相关因素研究[J];中外医学研究;2015年16期

4 汪海源;洪涛;吴兴茂;臧彬;;ICU内获得性感染细菌谱的时间分布分析[J];中国医科大学学报;2015年05期

5 孙振龙;;口腔颌面外科手术后医院感染情况分析[J];中国现代医药杂志;2015年04期

6 丁国强;蒋红卫;叶英响;王芬;徐春燕;;口腔颌面肿瘤患者术后医院感染的病原菌分析与控制[J];中华医院感染学杂志;2015年04期

7 广承栋;;探讨预防口腔颌面外科术后感染的措施和效果[J];卫生职业教育;2015年02期

8 吴萌萌;李三红;赵s，

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