良性与恶性骨肿瘤手术患者医院感染危险因素分析  

Analysis on risk factors for nosocomial infection in patients with benign and malignant bone tumors undergoing surgery

作　　者：肖茹 高翠平 孙淑玲 卢冉冉[1] 姚雪 王书会[2] XIAO Ru;GAO Cui-ping;SUN Shu-ling;LU Ran-ran;YAO Xue;WANG Shu-hui(School of Nursing and Rehabilitation,Shandong University,Jinan Shandong 250012;Qilu Hospital,Shandong University,China)

机构地区：[1]山东大学护理与康复学院,山东济南250012 [2]山东大学齐鲁医院

出　　处：《中国消毒学杂志》2023年第2期143-145,149,共4页Chinese Journal of Disinfection

摘　　要：目的 分析良性与恶性骨肿瘤手术患者发生医院感染的危险因素。方法 采用整群抽样方法回顾性调查2016年1月1日—2018年12月31日山东省某三级甲等教学医院骨科良恶性骨肿瘤手术患者的临床资料,应用自行设计的骨肿瘤手术患者医院感染目标性监测调查表收集数据,通过单因素分析和多因素logistic回归分析,探讨医院感染的独立危险因素。结果 良性骨肿瘤手术患者310例,发生医院感染20例,医院感染发生率为6.45%;恶性骨肿瘤手术患者167例,发生医院感染21例,医院感染发生率为12.57%。切口引流管留置时间在良恶性骨肿瘤患者中均是医院感染的独立危险因素。此外,良性骨肿瘤患者发生医院感染的独立危险因素还包括骨盆手术和ASA评分≥3分,恶性骨肿瘤患者的独立危险因素还有尿管留置时间≥7 d。结论 骨肿瘤患者术后留置的切口引流管尤其要加强重视,尽量减少留置时间以降低患者发生医院感染的风险。Objective To analyze the risk factors of nosocomial infection in patients undergoing surgery for benign and malignant bone tumors. Methods The cluster sampling method was used to retrospectively investigate the clinical data of patients undergoing orthopedic surgery for benign and malignant bone tumors in a tertiary class A teaching hospital in Shandong Province from January 1, 2016 to December 31, 2018. The data were collected by using the self-designed nosocomial infection target monitoring questionnaire for patients undergoing bone tumor surgery. Univariate analysis and multivariate logistic regression analysis were performed to explore the independent risk factors of nosocomial infection. Results Among 310 patients undergoing surgery for benign bone tumor, 20 patients developed nosocomial infection(6.45%). Nosocomial infection occurred in 21 of 167 patients undergoing surgery for malignant bone tumor, and the incidence of nosocomial infection was 12.57%. The indentation time of incision drainage tube was an independent risk factor for nosocomial infection in benign and malignant tumor patients. In addition, the independent risk factors for nosocomial infection in patients with benign bone tumors included pelvic surgery and ASA score ≥3, and the independent risk factors for patients with malignant bone tumors included catheter indentation time ≥7 days. Conclusion More attention should be paid to the indwelling of incision drainage tube in patients with bone tumor after surgery to minimize the indwelling time to reduce the risk of hospital infection.

关 键 词：良性骨肿瘤 恶性骨肿瘤 危险因素 医院感染 

分 类 号：R181.23[医药卫生—流行病学]