糖尿病患者冠脉旁路移植术后切口感染状况分析
发布时间：2019-07-27 11:55
【摘要】：目的探究糖尿病患者冠脉旁路移植术后切口感染的状况,以期能为后期临床治疗提供参考。方法回顾性分析2013年6月-2015年6月医院收治的108例冠脉旁路移植术合并糖尿病患者的临床资料,其中9例患者发生术后切口感染,分析术后切口感染患者的病原菌类型,并分析冠脉旁路移植术合并糖尿病患者术后切口感染的相关危险因素。结果 108例冠脉旁路移植术合并糖尿病患者中,9例患者发生术后切口感染,感染率为8.33%;共分离出病原菌17株,其中革兰阴性菌9株占52.94%,主要为大肠埃希菌;革兰阳性菌6株占35.29%,主要为金黄色葡萄球菌;真菌2株占11.76%;高龄、高BMI、糖尿病病程长、空腹血糖低、糖尿病治疗状态不佳、主动脉阻断时间长、体外循环时间长、抗菌药物应用时间短、住院天数长为冠脉旁路移植术合并糖尿病患者术后切口感染的危险因素(P0.05)。结论冠脉旁路移植术合并糖尿病患者术后切口感染的病原菌主要为大肠埃希菌、金黄色葡萄球菌,应对高龄、高BMI、糖尿病病程长、空腹血糖低、糖尿病治疗状态不佳、主动脉阻断时间长、体外循环时间长、抗菌药物应用时间短、住院天数长的患者加强干预,降低术后切口感染率。
[Abstract]:Objective to investigate the status of incision infection after coronary artery bypass grafting (CABG) in patients with diabetes mellitus (DM), so as to provide reference for later clinical treatment. Methods the clinical data of 108 patients with coronary artery bypass grafting complicated with diabetes mellitus from June 2013 to June 2015 were analyzed retrospectively. among them, 9 patients had postoperative incision infection, the types of pathogenic bacteria in patients with postoperative incision infection were analyzed, and the risk factors of incision infection in patients with coronary artery bypass grafting complicated with diabetes mellitus were analyzed. Results among 108 patients with coronary artery bypass grafting complicated with diabetes mellitus, 9 patients had postoperative incision infection (8.33%), 17 strains of pathogenic bacteria were isolated, including 9 strains of Gram-negative bacteria (52.94%), 6 strains of Gram-positive bacteria (35.29%), 2 strains of fungi (11.76%), 6 strains of Gram-positive bacteria (35.29%) and 2 strains of fungi (11.76%). The risk factors of incision infection in patients with coronary artery bypass grafting complicated with diabetes mellitus were long duration of aortic occlusion, long cardiopulmonary bypass time, short use time of antibiotics and long hospitalization days, which were the risk factors of incision infection in patients with coronary artery bypass grafting complicated with diabetes mellitus (P 0.05), such as long course of disease, low fasting blood glucose, poor treatment of diabetes mellitus, long duration of antibiotics and long hospitalization days. Conclusion the main pathogens of incision infection in patients with coronary artery bypass grafting complicated with diabetes mellitus are Escherichia coli and Staphylococcus aureus. The patients with high BMI, diabetes have long course of disease, low fasting blood glucose, poor treatment status of diabetes mellitus, long aortic occlusion time, long cardiopulmonary bypass time, short application time of antibiotics and long hospitalization days to reduce the infection rate of incision after operation.
【作者单位】： 平顶山市第二人民医院心胸外科;平顶山市第二人民医院化验室;
【分类号】：R587.1;R654.2
，
本文编号：2519980
[Abstract]:Objective to investigate the status of incision infection after coronary artery bypass grafting (CABG) in patients with diabetes mellitus (DM), so as to provide reference for later clinical treatment. Methods the clinical data of 108 patients with coronary artery bypass grafting complicated with diabetes mellitus from June 2013 to June 2015 were analyzed retrospectively. among them, 9 patients had postoperative incision infection, the types of pathogenic bacteria in patients with postoperative incision infection were analyzed, and the risk factors of incision infection in patients with coronary artery bypass grafting complicated with diabetes mellitus were analyzed. Results among 108 patients with coronary artery bypass grafting complicated with diabetes mellitus, 9 patients had postoperative incision infection (8.33%), 17 strains of pathogenic bacteria were isolated, including 9 strains of Gram-negative bacteria (52.94%), 6 strains of Gram-positive bacteria (35.29%), 2 strains of fungi (11.76%), 6 strains of Gram-positive bacteria (35.29%) and 2 strains of fungi (11.76%). The risk factors of incision infection in patients with coronary artery bypass grafting complicated with diabetes mellitus were long duration of aortic occlusion, long cardiopulmonary bypass time, short use time of antibiotics and long hospitalization days, which were the risk factors of incision infection in patients with coronary artery bypass grafting complicated with diabetes mellitus (P 0.05), such as long course of disease, low fasting blood glucose, poor treatment of diabetes mellitus, long duration of antibiotics and long hospitalization days. Conclusion the main pathogens of incision infection in patients with coronary artery bypass grafting complicated with diabetes mellitus are Escherichia coli and Staphylococcus aureus. The patients with high BMI, diabetes have long course of disease, low fasting blood glucose, poor treatment status of diabetes mellitus, long aortic occlusion time, long cardiopulmonary bypass time, short application time of antibiotics and long hospitalization days to reduce the infection rate of incision after operation.
【作者单位】： 平顶山市第二人民医院心胸外科;平顶山市第二人民医院化验室;
【分类号】：R587.1;R654.2
，
本文编号：2519980
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