围手术期患者发生麻醉相关感染的危险因素及相关预防措施分析

发布时间：2018-03-14 18:26

本文选题：围手术期　切入点：麻醉相关感染　出处：《中华医院感染学杂志》2017年05期 　论文类型：期刊论文

【摘要】：目的探讨围手术期患者发生麻醉相关感染的危险因素及相关预防措施,为临床预防提供依据。方法选择2015年1-12月在医院行全麻的手术患者2 624例为研究对象,调查患者的感染率,采用自制的调查问卷对患者的一般资料及临床资料进行记录,分析围术期患者发生麻醉相关感染的危险因素,单因素分析采用χ2检验,多因素分析采用Logistic回归分析。结果 2624例研究对象,发生围术期感染359例,其中呼吸道感染217例,血液感染95例,其他部位感染47例;致病菌分析结果:革兰阴性菌构成比为56.5%,其中不动杆菌比例最高,占17.8%;革兰阳性菌构成比34.3%,其中表皮葡萄球菌比例最高,占10.9%;单因素分析结果显示,未使用过滤器占65.02%,更换钠灰石频率低于1次/天占62.99%、深静脉、动脉穿刺者占32.42%,发生围手术期感染的比例更高,差异有统计学意义(P0.05)。多因素分析结果显示无使用过滤器、更换钠石灰频率1次/天、深静脉穿刺是围手术期患者发生麻醉相关感染的独立危险因素。结论影响围术期患者发生麻醉相关感染的高危因素较多,使用过滤器,更换钠石灰频率1次/天,有利于减少围产期麻醉相关感染的发生。
[Abstract]:Objective to explore the risk factors and preventive measures of anaesthesia related infection in perioperative patients, and to provide evidence for clinical prevention. Methods 2624 patients undergoing general anesthesia in hospital from 2015 to December were selected as study objects. To investigate the infection rate of patients, to record the general data and clinical data of patients by self-made questionnaire, to analyze the risk factors of anaesthesia related infection in perioperative patients, and to use 蠂 2 test in univariate analysis. Results there were 2 624 cases of perioperative infection, including 217 cases of respiratory tract infection, 95 cases of blood infection and 47 cases of other site infection. The results of pathogenic bacteria analysis showed that the composition ratio of Gram-negative bacteria was 56.5, of which Acinetobacter was the highest, accounting for 17.8.The proportion of Gram-positive bacteria was 34.3, of which the proportion of Staphylococcus epidermidis was the highest, 10.9.The results of univariate analysis showed that, The percentage of unused filters was 65.02, the frequency of replacing sodium ash was 62.99 times per day, the proportion of deep veins and arterial puncture was 32.42, the incidence of perioperative infection was higher, the difference was statistically significant (P 0.05). The results of multifactor analysis showed that no filter was used. Replacing sodium lime frequency once a day, deep vein puncture is an independent risk factor for anaesthesis-related infection in perioperative patients. Conclusion there are many high risk factors affecting anaesthesia related infection in perioperative patients, and filter is used. Replacement of sodium lime frequency once a day is beneficial to reduce the incidence of perinatal anaesthesis-related infections.
【作者单位】：河南省人民医院麻醉科;河南省人民医院感染办;
【基金】：河南省卫计委科研基金资助项目(201403183)
【分类号】：R614.2

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