起搏器囊袋感染相关危险因素分析  

Relative Risk Factors of Pacemaker Pocket Infection

作　　者：史扬[1] 耿仁义[1] 

机构地区：[1]解放军总医院南楼急诊科,北京100853

出　　处：《中华医院感染学杂志》2010年第6期797-798,共2页Chinese Journal of Nosocomiology

摘　　要：目的分析起搏器植入术后囊袋感染的相关危险因素。方法回顾性调查1869例患者的临床资料:包括手术持续时间、同部位手术次数、感染发生的时间、术后有无囊袋血肿、有无切口脂肪液化、有无使用抗菌药物、感染创面细菌培养结果、导管室无菌环境。结果21例囊袋感染,发生率是1.11%;术后6个月内发生囊袋感染的比例为61.9%,同部位手术次数、手术持续时间、囊袋血肿、切口脂肪液化和导管室无菌环境均与起搏器囊袋感染呈显著相关性(P<0.05)。结论起搏器植入术后6个月内是囊袋感染的高发期,第3次更换手术、手术时间>3 h、囊袋血肿、切口脂肪液化和导管室无菌环境差是囊袋感染的危险因素。OBJECTIVE To analyze the relative risk factors of pacemaker pocket infection.METHODS The perioperative data of 1869 patients were retrospectively studied,which included the surgery duration,number of operations with the same position,the time of pocket infection taken place,pocket hematoma,incision fat liquefaction,postoperative use of antibiotics,bacterial culture results,and sterile environment of catheterization room.RESULTS There were 21 cases of pocket infection,the incidence was 1.11%.The proportion of pocket infection was 61.9% after 6 months of operation.The pocket infection was significantly related with surgery duration,number of operations with the same position,pocket hematoma,incision fat liquefaction and sterile environment of catheterization room（P0.05）.CONCLUSIONS The high incidence of pocket infection is in the period of 6 months after pacemaker implantation.The 3rd replacement surgery,operation duration more than 3 hours,pocket hematoma,incision fat liquefaction and poor sterile environment of catheterization room are the relative risk factors of pacemaker pocket infection.

关 键 词：起搏器 囊袋感染 危险因素 

分 类 号：R181.32[医药卫生—流行病学]