硬膜外麻醉患者术后感染的临床分析
发布时间:2018-05-24 20:50
本文选题:硬膜外麻醉术 + 相关性感染 ; 参考:《中华医院感染学杂志》2015年08期
【摘要】:目的分析硬膜外麻醉患者术后并发感染的临床因素,探讨预防控制措施,为临床治疗提供参考依据。方法选择医院2011年12月-2013年12月于硬膜外麻醉下接受手术治疗的728例患者作为研究对象,回顾性分析该组患者的临床资料、感染相关性因素,并探讨对应的预防控制措施,采用SPSS 17.0软件进行统计分析。结果 728例患者均顺利完成手术,术后发生感染42例,感染率为5.77%;logistic多因素分析提示穿刺次数、给药方式和医师经验是硬膜外麻醉术后感染的独立危险因素(P0.05)。结论穿刺点皮肤感染是硬膜外麻醉术后主要相关性感染,临床应加强相关感染因素预防,降低感染率。
[Abstract]:Objective to analyze the clinical factors of postoperative infection in patients undergoing epidural anesthesia, to explore the preventive and control measures and to provide reference for clinical treatment. Methods 728 patients who were operated under epidural anesthesia from December 2011 to December 2013 were selected as the study objects. The clinical data and infection related factors were analyzed retrospectively, and the corresponding preventive and control measures were discussed. SPSS 17.0 software was used for statistical analysis. Results all the 728 patients completed the operation successfully, 42 cases of infection occurred after operation, the infection rate was 5.77 logistic multivariate analysis showed that puncture times, administration method and physician's experience were the independent risk factors of infection after epidural anesthesia. Conclusion skin infection at puncture point is the main associated infection after epidural anesthesia. The prevention of infection factors and the reduction of infection rate should be strengthened in clinic.
【作者单位】: 黄石市中心医院·湖北理工学院附属麻醉科;
【基金】:湖北省卫生厅基金资助项目(2009卫-3-63-2-1)
【分类号】:R619.3
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