心脏外科患者手术部位感染的危险因素  

Risk factors for surgical site infection in patients undergoing cardiac surgery

作　　者：程丽峰[1] 阿依古丽[1] 李军[1] 朱敏[1] 魏育涛[2] CHENG Li- feng A yiguli LI Jun ZHU Min WEI Yu-tao(The First Division Hospital of Xinjiang Production ＆ Construction Corps, Aksu 843000, China The First Affiliated Hospital of Shihezi University School of Medicine, Shihezi 832008, China)

机构地区：[1]新疆生产建设兵团第一师医院,新疆阿克苏843000 [2]石河子大学医学院第一附属医院,新疆石河子832008

出　　处：《中国感染控制杂志》2017年第1期62-65,共4页Chinese Journal of Infection Control

基　　金：国家自然科学基金资助项目(81460059)

摘　　要：目的探讨心脏外科患者手术部位感染危险因素,为制定控制措施提供依据。方法选择2012年1月—2014年12月某院心脏外科收治的215例心脏手术患者,对可能引起手术部位感染的危险因素进行单因素及多因素分析。结果心脏外科患者术后手术部位感染发病率为16.28%(35/215)。单因素分析结果显示,年龄>65岁、手术时间>5 h、接台手术、术前住院时间>7 d、围手术期抗菌药物使用不合理、患有高血压及糖尿病等基础疾病的患者手术部位感染发病率较高。多因素回归分析结果显示,年龄、手术时间、接台手术、术前住院时间、围手术期抗菌药物使用不合理、患基础疾病是心脏手术部位感染的独立危险因素。结论心脏外科患者手术部位感染的发病率较高,应针对手术时间等可控因素采取防控措施,减少手术部位感染。ObjectiveTo analyze risk factors for surgical site infection（SSI） in cardiac surgery patients, so as to provide basis for making control measures.Methods215 patients who underwent cardiac surgery in a hospital between January 2012 to December 2014 were investigated, univariate analysis and multivariate logistic regression analysis were used to analyze the related risk factors for postoperative SSI.ResultsThe incidence of postoperative SSI in cardiac surgery patients was 16.28%（35/215）. Univariate analysis showed that the incidence of postoperative SSI was relatively higher in patients aged〉65 years, duration of operation〉5 hours，continuous operation, preoperative hospitalization time 〉7 days, irrational perioperative antimicrobial use, as well as patients with underlying diseases such as hypertension and diabetes mellitus. Multivariate logistic regression analysis indicated that the age, duration of operation, continuous operation, preoperative hospitalization time, irrational perioperative use of antimicrobial agents, and patients with underlying diseases were independent risk factors for SSI in patients who underwent cardiac surgery.ConclusionIncidence of SSI is higher in patients with cardiac surgery, preventive measures should be taken to control risk factors such as duration of operation, so as to reduce the incidence of SSI.

关 键 词：心脏手术 手术部位感染 危险因素 医院感染 

分 类 号：R181.32[医药卫生—流行病学] R654[医药卫生—公共卫生与预防医学]