术中综合保温方案对介入室患者术后感染的影响  

Influence of intraoperative comprehensive thermal insulation on postoperative infection in patients undergoing interventional surgery

作　　者：崔燕玲[1] 赵秋菊[2] 尹育华[3] 刘波[3] 王昆[3] 

机构地区：[1]承德市中心医院导管室,河北承德067000 [2]承德市中心医院监察室,河北承德067000 [3]承德市中心医院心内科,河北承德067000

出　　处：《中华医院感染学杂志》2017年第6期1417-1419,共3页Chinese Journal of Nosocomiology

基　　金：河北省卫生厅医学科学基金资助研究项目(zd20140393);承德市科学技术研究与发展计划基金资助项目(2011210031)

摘　　要：目的探讨术中综合保温方案对介入室患者术后感染的影响,以有效预防介入手术患者术后感染。方法选取2015年1月-2016年6月在医院行介入手术的患者1038例为干预组,实施综合保温干预方案;选取2013年7月-2014年12月在医院行介入手术的患者1012例为对照组,实施常规保温方案;比较干预前后两组患者术前30min、手术开始后60min及手术后患者体温变化情况、手术时间、术中出血量、住院时间、感染发生率及病原菌构成比例。结果对照组患者共有62例发生感染,感染率为6.13%;干预组患者共有8例,感染率为0.77%,两组比较差异有统计学意义(P<0.01);两组患者体温在术前30min均正常,差异无统计学意义;实施综合保温方案干预后,干预组在手术开始后60min及手术结束时体温与术前比较无差异,对照组患者在手术开始后60min及手术结束时体温均显著低于术前,且与干预组比较差异均有统计学意义(P<0.01)。两组患者手术时间及术中出血量比较差异无统计学意义,对照组患者住院时间明显比干预组长,与干预组比较差异有统计学意义(P<0.01)。结论综合保温方案可有效维持患者围术期体温,缩短住院时间,降低介入手术治疗患者术后感染发生率。OBJECTIVE To explore the influence of intraoperative comprehensive thermal insulation on postoperative infection in patients undergoing interventional surgery so as to effectively prevent the postoperative infection.METHODS A total of 1038 patients who underwent the interventional surgery in the hospital from Jan 2015 to Jun2016were chosen as the intervention group,which was treated with comprehensive thermal insulation program;totally 1012 patients who received the interventional surgery in the hospital from Jul 2013 to Dec 2014 were set as the control group,which was treated with conventional thermal insulation program.The body temperature 30 min before the surgery and 60 min after the start of surgery,operation duration,intraoperative blood loss volume,length of hospital stay,incidence of infection,and proportions of pathogens were observed and compared between the two groups of patients before and after the intervention.RESULTS Totally 62 patients had infections in the control group,with the infection rate 6.13%;totally 8patients had infections in the intervention group,with the infection rate 0.77%,and there was significant difference between the two groups（P〈0.01）.There was no significant difference in the body temperature between the two groups of patients at 30 min before the surgery.After the comprehensive thermal insulation program was carried out,there was no significant difference in the body temperature of the intervention group after the start of surgery for 60 min and at the end of surgery;the body temperature of the control group was significantly lower after the start of surgery for 60 min and at the end of surgery than before the surgery,as compared with the intervention group（P〈0.01）.There was no significant difference in the operation duration or intraoperative blood loss volume between the two groups of patients;the length of hospital stay of the control group was remarkably longer than that of the CONCLUSIONProgram can effectively maintain the body temperature of the patients dur

关 键 词：综合保温 介入室 术后感染 

分 类 号：R197[医药卫生—卫生事业管理]