心脏直视术后手术部位感染相关因素logistic回归分析

Logistic regression analysis of related factors of surgical site infections in patients undergoing open heart surgery

  • 摘要: 目的 研究心脏直视术后手术部位感染(SSI)相关危险因素logistic回归分析结果,为降低SSI提供相应依据。方法 选择2015年3-10月在医院心外科接受心脏直视手术治疗的210例患者作为研究对象,分析患者发生SSI的相关因素,利用logistic回归法分析发生感染的相关危险因素,采用SPSS20.0软件进行统计分析。结果 210例患者发生SSI 43例,感染率20.48%;发生浅表切口感染占60.47%,显著高于深部感染的34.88%及纵隔感染的4.65%,差异均有统计学意义(P<0.05);经logistic回归分析显示,手术时间>3 h、术后3 d高热、术后住ICU>3d、术后高血糖及切口实施皮下连续缝合是患者发生SSI的相关危险因素。结论 浅表切口感染是心脏直视手术后发生SSI的主要途径,而手术时间>3h、术后3d高热、术后住ICU>3d、术后高血糖及切口实施皮下连续缝合是导致SSI的相关危险因素。

     

    Abstract: OBJECTIVE To study the results of logistic regression of related factors of surgical site infections (SSI) in patients undergoing open heart surgery, and to provide related evidenc for reducing SSI. METHODS A total of 210 patients with open heart surgery treated in hospital from Mar. 2015 to Oct. 2015 were selected as study subjects. Related factors of the occurrence of infections were analyzed, and logistic regression analysis was used to analyze the risk factors associated with infections. The results were statistically analyzed by software SPSS20.0. RESULTS Among the 210 patients, surgical site infections occurred in 43 patients with an infection rate of 20.48%. Superficial wound infections accounted for 60.47% which was significantly higher than 34.88% of the deep infections and higher than 4.65% of the mediastinal infection (P<0.05).Logistic regression analysis showed that the conditions of the operation time > 3h, 3d of high fever symptoms after surgery, ICU time after surgery > 3d, high blood glucose after operation and continuous suture on the incision were the risk factors of SSI. CONCLUSION Superficial wound infection is the main way of SSI after open heart surgery, and the operation time > 3h, 3d of high fever symptoms after surgery, ICU time after surgery > 3d, high blood glucose after operation and continuous suture on the incision were the risk factors of SSI.

     

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