口腔颌面外科术后感染因素分析

发布时间：2018-05-26 11:46

本文选题：口腔颌面外科术 + 感染因素　；参考：《中国当代医药》2014年36期

【摘要】：目的探析口腔颌面外科术后感染的相关因素,为临床感染防治提供依据。方法采用回顾性分析方法对本院2011年9月~2014年9月收治的口腔科行口腔颌面外科手术2100例患者的临床资料进行研究整理,对其感染的相关因素进行分析。结果 2100例患者中107例发生术后感染,感染率为5.10%,其中感染部位有呼吸道59例(55.14%)、手术伤口25例(23.36%)、胃肠道11例(10.28%)、皮肤及软组织4例(3.74%)和其他部位感染8例(7.48%),其中呼吸道的感染率最高。口腔颌面外科术后感染与性别、抗生素使用种类无关(P0.05),与年龄、住院天数、切口类型和麻醉方式有关(P0.05)。多因素Logistic回归分析表明,年龄、切口类型是独立高危险因素(P0.05)。结论口腔领面外科发生术后感染的概率较高,其中常见的是呼吸道感染,规范和熟练的术中、术后护理可以有效降低口腔颌面外科术后感染率,提高患者的生活质量。
[Abstract]:Objective to explore the related factors of postoperative infection in oral and maxillofacial surgery, and to provide evidence for the prevention and treatment of clinical infection. Methods the clinical data of 2100 cases of oral and maxillofacial surgery in our hospital from September 2011 to September 2014 were analyzed retrospectively and the related factors of infection were analyzed. Results among the 2100 patients, 107 had postoperative infection. The infection rate was 5.10, including 59 cases of respiratory tract infection, 25 cases of surgical wound, 10.28% of gastrointestinal tract, 4 cases of skin and soft tissue, and 8 cases of other infection, among which the respiratory tract infection rate was the highest. Postoperative infection in oral and maxillofacial surgery was not related to sex, type of antibiotic use, but to age, length of stay, type of incision and anaesthesia. Multivariate Logistic regression analysis showed that age and incision type were independent high risk factors (P 0.05). Conclusion the probability of postoperative infection in oral collar surgery is high, among which respiratory tract infection is common. Postoperative nursing care can effectively reduce the infection rate of oral and maxillofacial surgery and improve the quality of life of the patients.
【作者单位】：江西省萍乡市人民医院口腔科;
【分类号】：R782.05

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