摘要
目的调查影响层流手术室(laminar flow operating rooms,LFOR)手术患者院内感染的危险因素,并分析其对策。方法选取 2012 年 8 月—2018 年 8 月期间在我院 LFOR 开展手术的 600 例患者纳入研究,依据是否发生院内感染分为感染组与非感染组,比较 2 组患者一般资料、手术情况,并分析影响患者感染的危险因素。结果 600 例患者中,24 例(4.00%)发生院内感染。感染组患者年龄≥ 60 岁,合并糖尿病、高血压,急诊手术,手术时间≥ 2 h,II 类切口,术中输血,术中有设备搬动比例明显高于非感染组(P 均< 0.05);Logistic 回归分析显示,年龄≥ 60 岁、有合并症、急诊手术、手术时间≥ 2 h、II 类切口、术中输血、术中有设备搬动均为患者院内感染的危险因素。结论 LFOR 手术患者院内感染危险因素主要为高龄、有合并症、急诊手术、手术时间长、II 类切口、术中输血、术中有设备搬动等,临床可针对这些因素采取相应预防对策,以降低感染风险。
Objective To investigate the risk factors of nosocomial infections of surgical patients in laminar flow operating room (LFOR) and analyze the countermeasures. Methods A total of 600 patients who underwent operations in the LFOR of our hospital from August 2012 to August 2018 were enrolled in the study. They were divided into the infected group and the uninfected group according to the presence of nosocomial infection. The general data and operations were compared between the 2 groups and the risk factors for infections were analyzed. Results Among the 600 patients, 24 cases (4.00%) were infected. The proportions of patients at the age of ≥ 60 years, complicated with diabetes or hypertension, emergency operation, operation time ≥ 2 h, type II incision, intraoperative blood transfusion and intraoperative equipment movement in the infected group were significantly higher than those in the uninfected group (P < 0.05). Logistic regression analysis showed that age of ≥ 60 years, complications, emergency operation, operation time ≥ 2 h, type II incision, intraoperative blood transfusion and intraoperative equipment movement were risk factors for nosocomial infections of patients in LFOR. Conclusions The risk factors for nosocomial infections of patients in LFOR mainly include advanced age, complications, emergency operation, long operation time, type II incision, intraoperative blood transfusion and intraoperative equipment movement. Clinical preventive measures can be taken against these factors to reduce the infection risk.
作者
王洪霞
尹桃
邓礼衡
WANG Hong-xia;YIN Tao;DENG Li-heng(Operation Room,Dujiangyan People’s Hospital,611830,China)
出处
《传染病信息》
2019年第2期139-141,共3页
Infectious Disease Information
关键词
层流手术室
院内感染
危险因素
对策
laminar flow operating room
nosocomial infection
risk factor
countermeasure
