手术室空气质量动态变化对人工关节置换术后感染预防进展研究.docVIP

手术室空气质量动态变化对人工关节置换术后感染预防进展研究 　　【摘要】 目的 分析研究100级层流手术室较10000～100000级层流手术室空气质量动态变化对人工关节置换术后感染的预防影响。方法 180例行人工关节置换术治疗的患者， 随机分为A组和B组， 每组90例。A组用100级层流手术室， B组用10000～100000级层流手术室。通过对动、静状态下的沉降菌落数量的检测及术后患者感染率分析手术室空气质量变化对人工关节置换术后的感染预防影响。结果 A组静态沉降菌数量为（0.149±0.281）个， 动态沉降菌数量为（24.685±12.628）个， 低于B组的（0.661±0.904）、（42.794±18.560）个， 差异有统计学意义（P0.05）。A组术后感染发生率为3.33%， 明显低于B组的27.78%（P0.05）。结论 手术室空气质量清洁度与关节置换术后感染紧密关联， 改善和提高手术室环境水平有利于预防患者术后感染的发生。 　　【关键词】 手术室空气质量；人工关节置换术；感染；预防 　　DOI：10.14163/j.cnki.11-5547/r.2016.16.189 　　【Abstract】 Objective To analyze and research influence by 100 class laminar flow operating room air quality dynamic change on infection after artificial joint replacement， comparing with 10000～100000 class. Methods A total of 180 artificial joint replacement patients were randomly divided into groups A and B， with 90 cases in each group. Group A were in 100 class laminar flow operating room， and group B were in 10000～100000 class operating room. Comparison was made on static and dynamic settlement colony count， and postoperative infection between the two groups to analyze influence by operating room air quality on infection after artificial joint replacement. Results Group A had lower static settlement colony count as （0.149±0.281） strains and dynamic settlement colony count as （24.685±12.628） strains than （0.661±0.904） and （42.794±18.560） strains of group B， and their difference had statistical significance （P0.05）. Group A also had obviously lower incidence of postoperative infection as 3.33% than 27.78% of group B （P0.05）. Conclusion Operating room air quality is closely related with infection after artificial joint replacement. Improvement of operating room air quality can prevent postoperative infection. 　　【Key words】 Operating room air quality； Artificial joint replacement； Infection； Prevention 　　人工关节置换术是依据人体关节的活动方式、形态功能变化， 将人工假体植入并替代患者体内有功能障碍的关节， 以达到缓解关节疼痛、改善患者生活质量的临床手术治疗方式[1]。但其术后感染直接影响置换术的成败， 为了减少手术后感染的发生、减轻患者精神及经济上的沉重负担， 本研究将通过手术室动静态环境下的沉降菌落数检测对置换术后的感染预防