摘要
目的探讨气胸闭式引流术患者胸腔感染危险因素,并总结分析对策,以期降低感染率。方法选择2011年5月-2013年6月医院186例行气胸闭式引流术患者,对其术后胸腔感染患者进行危险因素分析,采用logistic回归法进行多因素分析,观察治疗前后胸水白细胞、蛋白定量及血常规白细胞、中性粒细胞等变化,并观察治疗对策;数据采用SPSS 16.0进软件行统计分析。结果 186例患者中发生胸腔感染16例,感染率8.60%;检出病原菌16株,以铜绿假单胞菌、金黄色葡萄球菌为主,分别占31.25%、25.00%;logistic多因素分析,年龄≥60岁、患有慢性肺部疾病及糖尿病、原发肺部病灶蔓延、引流留置时间>3d、预防应用抗菌药物是气胸闭式引流术患者发生胸腔感染危险因素(P<0.05);治疗前后胸水白细胞、蛋白及血白细胞、中性粒细胞比较,差异均有统计学意义(P<0.05)。结论气胸闭式引流术后并发胸腔感染危险因素较多,加强感染管理能降低感染率。
OBJECTIVE To explore the risk factors for chest infections in patients undergoing pneumothorax closed drainage and put forward the countermeasures so as to reduce the infection rate.METHODS A total of 186 patients who underwent the pneumothorax closed drainage in the hospital from May 2011 to Jun 2013 were enrolled in the study,then the risk factors for postoperative chest infections in the patients were analyzed,the multivariate logistic regression analysis was carried out,the levels of leukocytes and protein quantification in pleural fluid as well as white blood cells and neutrophils in blood were observed before and after the treatment,the treatment countermeasures were put forward,and the statistical analysis of data was performed with the use of SPSS 16.0software.RESULTS Of the 186 patients,16had chest infections,with the infection rate 8.60%.Totally 16 strains of pathogens were isolated,of which 31.25% were Pseudomonas aeruginosa,and 25.00% were Staphylococcus aureus.The multivariate logistic analysis showed that the risk factors for the chest infections in the patients undergoing the pneumothorax closed drainage included the no less than 60 years of age,complication with chronic pulmonary disease and diabetic mellitus,spread of primary pulmonary lesions,more than 3days of drainage indwelling,and prophylactic use of antibiotics（P〈0.05）.There was significant difference in the level of leukocytes,protein in pleural fluid or white blood cells,neutrophils in blood before and after the treatment（P〈0.05）.CONCLUSION There is a variety of risk factors for the postoperative chest infections in the patients undergoing the pneumothorax closed drainage.It is necessary to strengthen the infection management so as to reduce the infection rate.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2016年第13期3020-3022,共3页
Chinese Journal of Nosocomiology
基金
浙江省自然科学基金资助项目(ZJ2I81223)
关键词
气胸闭式引流术
胸腔感染
危险因素
治疗对策
Pneumothorax closed drainage
Chest infection
Risk factor
Treatment countermeasure
