本文選題：關(guān)節(jié)置換術(shù)　切入點(diǎn)：假體周圍感染　出處：《中華醫(yī)院感染學(xué)雜志》2017年01期 　論文類型：期刊論文

【摘要】：目的了解和掌握老年關(guān)節(jié)置換術(shù)患者假體周圍的感染情況,分析導(dǎo)致患者感染的危險(xiǎn)因素為臨床預(yù)防感染提供參考依據(jù)。方法選取2010年12月-2015年10月醫(yī)院臨床收治的關(guān)節(jié)置換術(shù)患者392例,對(duì)患者臨床資料、手術(shù)資料、血清檢查結(jié)果與患者假體周圍感染率關(guān)系進(jìn)行比較研究。結(jié)果 392例關(guān)節(jié)置換術(shù)患者中發(fā)生假體周圍感染的患者35例,感染率為9.18%;年齡≥65歲患者的感染率為15.97%,高于65歲患者的6.23%;合并并發(fā)癥數(shù)量≥2種患者的感染率為39.13%,高于2種患者的7.32%;使用免疫抑制劑患者的感染率為19.39%,高于未使用患者的5.78%;抗菌藥物使用時(shí)間7d患者的感染率為17.07%,高于≥7d患者的8.26%;無(wú)菌操作不規(guī)范患者的感染率為40.98%,高于無(wú)菌操作規(guī)范患者的3.32%;手術(shù)時(shí)間≥2h患者的感染率為15.08%,高于2h患者的6.39%;空腹血糖異�；颊叩母腥韭蕿�22.95%,高于空腹血糖正�；颊叩�6.65%,組間比較差異有統(tǒng)計(jì)意義(P0.05)。結(jié)論導(dǎo)致老年關(guān)節(jié)置換術(shù)患者假體周圍感染的臨床危險(xiǎn)因素較多,在臨床實(shí)踐過(guò)程中應(yīng)針對(duì)危險(xiǎn)因素采取積極有效的預(yù)防措施來(lái)降低感染率。
[Abstract]:Objective to understand and understand the periprosthetic infection in elderly patients undergoing arthroplasty. To analyze the risk factors leading to infection in patients and to provide reference for clinical prevention of infection. Methods 392 cases of joint replacement were selected from December 2010 to October 2015 in our hospital, and the clinical data and surgical data were analyzed. Results among 392 patients with arthroplasty, 35 had periprosthetic infection. The infection rate was 9.18; the infection rate in patients aged 鈮，

本文編號(hào)：1576012