口腔颌面部游离组织皮瓣手术部位感染的病原学诊断及治疗

发布时间：2018-07-06 11:10

本文选题：口腔颌面部 + 游离组织皮瓣手术　；参考：《中华医院感染学杂志》2014年19期

【摘要】：目的观察口腔颌面部游离组织皮瓣手术患者手术部位感染(SSI)的病原学分析,以期提高临床诊治水平。方法选择2005年3月-2013年3月收治的152例口腔颌面部损伤需要接受游离组织皮瓣移植修复手术患者,观察患者SSI发生率,并统计发生SSI的相关因素以及病原学分析,数据均采用SPSS16.0软件进行统计分析和处理。结果 152例口腔颌面部游离组织皮瓣手术患者发生SSI 27例,发生率为17.76%;口腔颌面部游离组织皮瓣手术患者发生SSI的相关因素,与患者术前的白细胞计数以及术前抗菌药物使用时间有关,差异有统计学意义(P0.05);SSI病原菌以革兰阴性菌为主占62.96%、革兰阳性菌为29.63%、真菌为7.41%。结论口腔颌面部游离组织皮瓣手术患者发生SSI的相关因素与术前白细胞计数以及抗菌药物使用时间有关,因此应加强患者术前预防性抗菌药物使用,加强术后的随访和干预措施,有效降低SSI的发生。
[Abstract]:Objective to observe the etiology of site infection (SSI) in patients with oral and maxillofacial free tissue flap. Methods from March 2005 to March 2013, 152 patients with oral and maxillofacial injuries needed to be repaired with free tissue flap. The incidence of SSI was observed, and the related factors and etiological analysis were analyzed. The data were analyzed and processed by SPSS 16.0 software. Results there were 27 cases (17.76%) of SSI in 152 cases of free tissue flap of oral and maxillofacial region, and the related factors of SSI in patients with free tissue flap of oral and maxillofacial region. The difference was statistically significant (P0.05) that the main pathogens of SSI were Gram-negative bacteria, Gram-positive bacteria were 29.63 and fungi were 7.41. Conclusion the related factors of SSI in patients undergoing free tissue flap operation in oral and maxillofacial region are related to the preoperative white blood cell count and the time of use of antimicrobial agents, so we should strengthen the use of prophylactic antibiotics before operation. Postoperative follow-up and intervention measures were strengthened to effectively reduce the incidence of SSI.
【作者单位】：河南科技大学第一附属医院口腔科;
【基金】：洛阳市卫生局中青年扶持基金资助项目(LS-2010B008)
【分类号】：R782.2

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