47例耳鼻喉术后感染影响因素分析.docVIP

精品论文 参考文献 47例耳鼻喉术后感染影响因素分析 （成都市西区医院耳鼻喉科 四川 成都 610031） 【摘 要】目的：观察并分析耳鼻喉术后感染影响因素，为临床上降低耳鼻喉术后感染提供借鉴。方法：选取本院2012年5月~2015年4月收治的耳鼻喉手术患者1256例，对其进行手术后的感染监测，并分析耳鼻喉患者术后感染影响因素。结果：经统计学分析可知，共有47例患者出现术后感染，感染率为3.74%，其中20例为呼吸系统感染，占42.55%，16例为泌尿系统感染，占34.04%，8例消化系统感染，占17.02%，3例为其他感染，占6.38%；手术的时间、手术的部位、抗菌药的使用时间、感染的并发部位以及住院的时间是耳鼻喉术后感染的主要影响因素（P＜0.05）。结论：缩短手术和住院的时间、严格无菌操作以及合理使用抗菌药可以有效抑制耳鼻喉术后感染的发生，改善临床治疗效果。 【关键词】耳鼻喉；术后感染；影响因素 【中图分类号】R472.3 【文献标识码】B 【文章编号】1004-6194（2015）02-0038-01 【Abstract】Objective：To observe and explore the influencing factors of the postoperative infections in the patients undergoing ear nose throat ( ENT ) surgery so as to provide basis for prevention and control of the postoperative infections after ENT surgery. Methods：By means of epidemiological survey, the related factors of the postoperative infections after the ENT surgery were investigated; the effects of disinfection of the air in operating room and the medical staffs hands were observed, the process of surgery was recorded, the medical records were reviewed, bedside survey was conducted, and the related data was collected. Results：The postoperative infections occurred in 47 patients with the infection rate of 3.74%, including 20 (42.55%) cases of patients complicated with respiratory tract infections, 16 (34.04%) cases of patients with urinary tract infections, 8 (17.02%) cases of patients with gastrointestinal tract infections, and 3 (6.38%) cases of patients with other sites infections. The complicated infection site, surgical site, operation duration, hospitalization duration, and time of use of antibiotics were the impact factors of the postoperative infections after the ENT surgery (P＜0.05). Conclusion：To shorten the operation may reduce the incidence of postoperative infections and improve the quality of ENT surgery. 【Key Words】Ear nose throat department; Postoperative infection; Impact factor 耳鼻喉术后感染是常见的外科感染，也可以从一定程度上反映医院的感染情况以及外科的治疗质量。 为了探讨耳鼻喉术后感染影响因素，本文选取2012年5月~2015年4