脊柱手术患者术后切口感染的相关因素分析  

Related factors for postoperative incision infections in patients undergoing spinal surgery

作　　者：徐海丽[1] 倪乐丹[1] 叶芊芊[1] 徐华梓[1] 李晓聪[1] 

机构地区：[1]温州医科大学附属第二医院手术室,浙江温州325027

出　　处：《中华医院感染学杂志》2015年第1期191-193,共3页Chinese Journal of Nosocomiology

基　　金：浙江省自然科学基金资助项目(LR12H06001)

摘　　要：目的探讨脊柱手术部位感染(SSI)的危险因素,为降低脊柱手术术后感染风险提供依据。方法回顾性分析医院2009年1月-2012年12月进行脊柱手术的340例患者的临床资料,对发生SSI患者的危险因素进行统计,采用SPSS16.0软件进行统计分析。结果 340例患者发生感染15例,感染率4.4%;共分离出病原菌15株,以表皮葡萄球菌为主,占40.0%,其次为鲍氏不动杆菌、大肠埃希菌、普通变形菌,分别占26.7%、20.0%、13.3%;年龄过大、合并糖尿病、手术次数过多、手术切口较大、手术持续时间较长、住院时间较长、失血量过多、伴有器械植入和吸入氧气浓度较低等是脊柱外科术后感染的危险因素(P<0.05)。结论 SSI的发生与术前合并症、术前准备不充分及术中各环节有关,针对SSI发生的危险因素采取积极的干预措施,可有效降低感染风险,有助于患者的顺利康复。OBJECTIVE To explore the risk factors for surgical site infections （SSI）after the spinal surgery so as to reduce the incidence of postoperative infections in patients undergoing spinal surgery.METHODS The clinical data of 340 patients who underwent the spinal surgery in the hospital from Jan 2009 to Dec 2012 were retrospectively analyzed,the risk factors for the postoperative SSI were statistically analyzed,and the statistical analysis was per-formed with the use of SPSS16.0 software.RESULTS The infections occurred in 15 of 340 patients with the infec-tion rate of 4.4%.A total of 15 strains of pathogens have been isolated,among which the Staphylococcusepider-midis was dominant （40.0%）,followed by Acinetobacterbaumannii （26.7%）,Escherichiacoli （20.0%）,and Proteusvulgaris （13.3%）.The old age,complication of diabetes mellitus,frequent surgery,large surgical inci-sion,long operation duration,extended hospitalization duration,excessive volume of blood loss,implantation of device,and low concentration of inhaled oxygen were the risk factors for the postoperative infections in the pa-tients undergoing spinal surgery （P〈0.05）.CONCLUSION The incidence of SSI is associated with the preopera-tive complication,insufficient preoperative preparation,and intraoperative links.It is an effective way to take ac-tive intervention measures in response to the risk factors for the SSI so as to reduce the risk of infections and facili-tate the rehabilitation of the patients.

关 键 词：脊柱手术 手术部位感染 相关因素 

分 类 号：R619.3[医药卫生—外科学]