通过目标监测降低心脏外科术后肺部感染率  

Reduction of lung infection rates after cardiac surgery with target monitoring

作　　者：张颖琦 黄郁竹 潘明虎 郭秀玲[2] 刘莉[3] ZHANG Ying-qi;HUANG Yu-zhu;PAN Ming-hu;GUO Xiu-ling;LIU Li(Department of Infection Management,Xuzhou Rehabilitation Hospital,Xuzhou 221009;Department of Infection Management,Xuzhou Central Hospital,Xuzhou 221009,China;Department of Cardiac Surgery,Xuzhou Central Hospital,Xuzhou 221009,China)

机构地区：[1]徐州市康复医院感染管理科,江苏徐州221009 [2]徐州市中心医院感染管理处,江苏徐州221009 [3]徐州市中心医院心脏外科,江苏徐州221009

出　　处：《基础医学与临床》2022年第11期1760-1763,共4页Basic and Clinical Medicine

摘　　要：目的通过目标监测心脏外科术后肺部感染发生情况,为降低术后肺部感染发生率提供依据。方法通过手术目标监测徐州市中心医院2017年1月至2018年12月心脏外科手术患者425例,术后发生肺部感染25例次,感染发生率为5.88%。2019年和2020年分别应用PDCA循环质量管理流程降低心脏外科术后肺部感染率。结果2019年心脏外科手术患者265例,发生术后肺部感染11例次,感染发生率为4.15%;2020年心脏外科手术患者200例,发生术后肺部感染6例次,感染发生率为3%。结论通过手术目标监测,发现应用PDCA循环模式,能够联合多学科共同参与院感防控,持续改进质量。同时可有效降低心脏外科术后肺部感染发生率,大大提高患者生活及生存质量。Objective To monitor the incidence of pulmonary infection after cardiac surgery by target monitoring for reducing the incidence of postoperative pulmonary infection.Methods Surgical targets monitoring was used to follow 425 patients undergoing cardiac surgery in a tertiary general hospital from January 2017 to December 2018.There were 25 cases of postoperative pulmonary infection,and the infection rate was 5.88%.From 2019 and 2020,the PDCA cycle mode was applied to compare the rate of pulmonary infection after cardiac surgery.Results In 2019,11 cases in 265 patients with cardiac surgery had postoperative pulmonary infection,and the infection rate was 4.15%;In 2020,6 cases in 200 patients with cardiac surgery had postoperative pulmonary infection,and the infection rate was 3%.Conclusions Through surgical target monitoring,it is found that the application of the PDCA cycle mode can jointly participate in the prevention and control of nosocomial infection with multiple disciplines,and continuously improve the quality.At the same time,it can effectively reduce the incidence of pulmonary infection after cardiac surgery,and greatly improve the life and quality of life of patients.

关 键 词：目标监测 PDCA 心脏外科 术后肺部感染 

分 类 号：R563[医药卫生—呼吸系统]