【摘要】：目的探討新生兒術后發(fā)生手術部位感染的相關因素,為制定預防控制措施提供依據。方法對2012年6月-2016年5月新生兒病區(qū)所有手術患兒進行前瞻性隊列研究,對手術部位感染的相關因素進行多因素Logistic回歸分析。結果 2 366例新生兒發(fā)生手術部位感染62例,感染率為2.62%;多因素Logistic回歸分析結果顯示10 min Apgar評分8~10分(OR=0.237,95%CI:0.084~0.668)是新生兒手術部位感染的保護因素,早產兒(OR=2.912,95%CI:1.103~5.435)、ASA評分超過Ⅲ級(OR=1.992,95%CI:1.174~3.379)、手術持續(xù)時間超過180 min(OR=2.837,95%CI:1.540~5.228)及留置引流管(OR=2.573,95%CI:1.401~4.724)是新生兒手術部位感染的危險因素。結論應針對上述危險因素采取相應的干預措施,加強高�；純旱膰中g期的管理,降低新生兒術后手術部位感染的發(fā)生率。
[Abstract]:Objective to explore the related factors of postoperative infection in neonates and to provide evidence for prevention and control. Methods A prospective cohort study was carried out on all children undergoing operation in neonatal ward from June 2012 to May 2016. Multivariate Logistic regression analysis was performed on the related factors of surgical site infection. Results 62 cases of surgical site infection occurred in 2 366 neonates, the infection rate was 2.62%, the results of multivariate Logistic regression analysis showed that the 10 min Apgar score was 8 ~ 10 (ORX 0.237% 95 CI 0. 084 0. 668) was the protective factor of neonatal operative site infection. Premature infants (OR2.91295 CIW 1.103 / 5.435) had ASA scores above grade 鈪，

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