【摘要】：目的探討口腔頜面外科患者術(shù)后感染的病原菌及感染相關(guān)影響因素,為臨床預(yù)防口腔頜面外科患者術(shù)后感染和制定應(yīng)對(duì)措施提供臨床依據(jù)。方法回顧性分析醫(yī)院2013年4月-2016年4月接診的2 100例口腔頜面外科患者的臨床資料,統(tǒng)計(jì)分析術(shù)后感染率、感染部位分布、病原菌分布及引發(fā)口腔頜面外科患者術(shù)后感染的相關(guān)影響因素;對(duì)感染患者的送檢標(biāo)本進(jìn)行病原菌培養(yǎng)鑒定,使用儀器為美國(guó)Biolog公司全自動(dòng)細(xì)菌鑒定儀;采用SPSS18.0軟件進(jìn)行統(tǒng)計(jì)分析。結(jié)果 2 100例口腔頜面外科患者中,術(shù)后發(fā)生感染14例,術(shù)后感染率為0.67%;14例術(shù)后感染患者的感染部位以下呼吸道為主,5例占35.71%,其次為上呼吸道感染,4例占28.57%;14例術(shù)后感染患者共分離出25株病原菌,其中革蘭陰性菌14株占56.00%,以銅綠假單胞菌和克雷伯菌屬為主,分別占32.00%和12.00%;革蘭陽(yáng)性菌11株占44.00%,以金黃色葡萄球菌為主,占36.00%;相關(guān)因素分析結(jié)果顯示,年齡≥50歲、傷口異物、使用抗菌藥物及手術(shù)時(shí)間≥3h為口腔頜面外科患者術(shù)后感染的影響因素(P0.05)。結(jié)論影響口腔頜面外科患者術(shù)后感染的相關(guān)因素較多,且感染大多數(shù)因多種影響因素互相關(guān)聯(lián)而引起,臨床應(yīng)針對(duì)上述因素制定針對(duì)性預(yù)防措施進(jìn)行干預(yù),以降低術(shù)后感染率。
[Abstract]:Objective to investigate the pathogenic bacteria and related influencing factors of postoperative infection in patients with oral and maxillofacial surgery, and to provide clinical basis for clinical prevention of postoperative infection in patients with oral and maxillofacial surgery and the formulation of countermeasures. Methods the clinical data of 2100 patients with oral and maxillofacial surgery from April 2013 to April 2016 were analyzed retrospectively. the infection rate, the distribution of infection sites, the distribution of pathogenic bacteria and the related influencing factors of postoperative infection in patients with oral and maxillofacial surgery were analyzed statistically, and the pathogenic bacteria of the infected patients were cultured and identified, and the instrument was used as the automatic bacterial identification instrument of Biolog Company in the United States. SPSS18.0 software was used for statistical analysis. Results among 2100 patients with oral and maxillofacial surgery, 14 patients had postoperative infection. The postoperative infection rate was 0.67%. The main infection site was the lower respiratory tract in 14 patients, 5 (35.71%), followed by upper respiratory tract infection (28.57%). A total of 25 strains of pathogenic bacteria were isolated from 14 patients with postoperative infection, including 14 strains of Gram-negative bacteria (56. 00%), Pseudomonas aeruginosa (32. 00%) and Klebsiella (12. 00%), 11 strains of Gram-positive bacteria (44. 00%) and Staphylococcus aureus (36. 00%). The results of correlation factor analysis showed that age 鈮，

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