扩张器置入术后留置引流管感染危险因素分析  

Analysis of risk infection factors on drainage set after expander transplantation

作　　者：张淑英[1] 晏晓青[1] 郝明[1] 张海矫[1] 田晓丽[1] 赵玉明[1] 

机构地区：[1]解放军总医院整形修复科,北京100853

出　　处：《中华现代护理杂志》2009年第15期1404-1406,共3页Chinese Journal of Modern Nursing

摘　　要：目的探索扩张器置入术后留置引流管的时间。方法对30例扩张器置入术患者进行观察，在术后第2，4，6，8天采集引流管出皮肤处皮肤、出皮肤处引流管和引流管末端的样本。结果共采集标本170次，检出细菌5例，检出率2．9％；留置引流管5—8d时，出皮肤处皮肤和引流管有细菌检出；留置引流管7—8d时，引流管末端有细菌检出。结论引流管留置时间是导致引流管感染的重要因素，时间≥7d，细菌逆行侵入造成感染的机会增大。Objective To study the risk factors related to the infection with the soft tissue expander postoperatively, such as the time of drainage. Methods Thirty consecutive patients who underwent soft tissue expander involving set negative pressure drainage tube were studied. The samples were from the skin out of the drainage tube, the drainage tube out of skin and the end of drainage after 2, 4, 6, 8 days of the operation and at the time of removing the tube. Total samples were tested for bacteriology. Results A total of samples were 170, in which 5 cases wre positive and the detection rate was 2.9%. Bacterial dectection rate in the skin out of the drainage tube and the drainage tube out of the skin during were 9% from 5 to 8days. Dection rate at the end of the drainage is 33% between 7 and 8 days. Conclusions The time of the drainage tube set is an important factor that lead to infection. If it is set more than 7 days, retrograde infection risk will increase.

关 键 词：引流术 感染 危险因素 手术后医护 

分 类 号：R473.6[医药卫生—护理学]