摘要
目的减少急性心肌梗死患者经皮冠状动脉介入术后感染发生率,改善其生存质量。方法回顾性分析2006年7月-2010年6月,315例急性心肌梗死行直接经皮冠状动脉介入术患者的临床资料,统计术后感染发生率、感染部位、病原学检查结果,分析感染原因。结果急性心肌梗死行直接经皮冠状动脉介入术后患者医院感染率为15.2%,感染部位以呼吸道感染最多见,占48.2%,logistic回归分析提示感染与患者年龄、并发心功能不全、存在多种基础疾病、抢救术野受污染和发病后延迟就诊相关。结论通过杜绝术野污染;积极控制患者其他基础疾病;加强支持治疗,提高老年患者免疫力;积极纠正心力衰竭等措施控制感染率,有助于提高急性心肌梗死行直接经皮冠状动脉介入术后患者的生存率。
OBJECTIVE To reduce the postoperative infection occurrence rate in patients with acute myocardial infarction after direct percutaneous coronary intervention and to improve the survival quality.METHODS The clinical data during Jun 2006-Jul 2010 of 315 cases with acute myocardial infarction after direct percutaneous coronary intervention were analyzed retrospectively.The incidence of postoperative infection statistics,site of infection,pathogenic bacteria test results.All data were entered to computer and exported to SPSS software（version 17.0） for statistical analysis.RESULTS The incidence of postoperative infection was 15.2%,respiratory tract infection（56.2%） was the commonest,logistic regression analysis suggested that the postoperative infection was related to age,left ventricular disfunction,foundational diseases,surgical field pollution and delayed visit.CONCLUSIONS To reduce the incidence of Postoperative infection by eliminating the surgical field pollution,control the foundational diseases,strengthening support treatment,enhance resistance of older patients and improve heart failure actively is helpful to raise the survival rate of patients with acute myocardial infarction after direct percutaneous coronary intervention.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2011年第12期2418-2420,共3页
Chinese Journal of Nosocomiology
关键词
急性心肌梗死
经皮冠状动脉介入术
术后感染
Acute myocardial infarction
Percutaneous coronary intervention
Postoperative infection
