摘要
目的分析硬膜外麻醉患者术后并发感染的临床因素,探讨预防控制措施,为临床治疗提供参考依据。方法选择医院2011年12月-2013年12月于硬膜外麻醉下接受手术治疗的728例患者作为研究对象,回顾性分析该组患者的临床资料、感染相关性因素,并探讨对应的预防控制措施,采用SPSS 17.0软件进行统计分析。结果 728例患者均顺利完成手术,术后发生感染42例,感染率为5.77%;logistic多因素分析提示穿刺次数、给药方式和医师经验是硬膜外麻醉术后感染的独立危险因素(P<0.05)。结论穿刺点皮肤感染是硬膜外麻醉术后主要相关性感染,临床应加强相关感染因素预防,降低感染率。
OBJECTIVE To analyze clinical factors of concurrent infections after epidural anesthesia,and to investigate prevention and control measures so as to provide clinical references for treatments and diagnosis.METHODS Totally 728 cases of patients who were received by our hospital from Dec.2011 to Dec.2013 and adopted epidural anesthesia before surgeries were selected as research objects.Clinical data and infection-related factors of the patients were retrospectively analyzed and corresponding prevention and control measures were investigated.All data were analyzed by SPSS 17.0software.RESULTS All the 728 cases of patients were successfully operated with 42 cases infected,which accounted for 5.77%.Multivariate logistic analysis showed that the times of puncture,mode of administration and the experience of physicians were the independent risk factors for infections after epidural anesthesia.CONCLUSIONSkin infection on the puncture point is the major related infection after epidural anesthesia.It is necessary to strengthen the prevention for related infections so that the infection rate can be reduced.
出处
《中华医院感染学杂志》
CAS
CSCD
北大核心
2015年第8期1835-1837,共3页
Chinese Journal of Nosocomiology
基金
湖北省卫生厅基金资助项目(2009卫-3-63-2-1)
关键词
硬膜外麻醉术
相关性感染
临床分析
Epidural anesthesia
Related infections
Clinical analysis
