【摘要】：目的探究糖尿病患者冠脈旁路移植術(shù)后切口感染的狀況,以期能為后期臨床治療提供參考。方法回顧性分析2013年6月-2015年6月醫(yī)院收治的108例冠脈旁路移植術(shù)合并糖尿病患者的臨床資料,其中9例患者發(fā)生術(shù)后切口感染,分析術(shù)后切口感染患者的病原菌類(lèi)型,并分析冠脈旁路移植術(shù)合并糖尿病患者術(shù)后切口感染的相關(guān)危險(xiǎn)因素。結(jié)果 108例冠脈旁路移植術(shù)合并糖尿病患者中,9例患者發(fā)生術(shù)后切口感染,感染率為8.33%;共分離出病原菌17株,其中革蘭陰性菌9株占52.94%,主要為大腸埃希菌;革蘭陽(yáng)性菌6株占35.29%,主要為金黃色葡萄球菌;真菌2株占11.76%;高齡、高BMI、糖尿病病程長(zhǎng)、空腹血糖低、糖尿病治療狀態(tài)不佳、主動(dòng)脈阻斷時(shí)間長(zhǎng)、體外循環(huán)時(shí)間長(zhǎng)、抗菌藥物應(yīng)用時(shí)間短、住院天數(shù)長(zhǎng)為冠脈旁路移植術(shù)合并糖尿病患者術(shù)后切口感染的危險(xiǎn)因素(P0.05)。結(jié)論冠脈旁路移植術(shù)合并糖尿病患者術(shù)后切口感染的病原菌主要為大腸埃希菌、金黃色葡萄球菌,應(yīng)對(duì)高齡、高BMI、糖尿病病程長(zhǎng)、空腹血糖低、糖尿病治療狀態(tài)不佳、主動(dòng)脈阻斷時(shí)間長(zhǎng)、體外循環(huán)時(shí)間長(zhǎng)、抗菌藥物應(yīng)用時(shí)間短、住院天數(shù)長(zhǎng)的患者加強(qiáng)干預(yù),降低術(shù)后切口感染率。
[Abstract]:Objective to investigate the status of incision infection after coronary artery bypass grafting (CABG) in patients with diabetes mellitus (DM), so as to provide reference for later clinical treatment. Methods the clinical data of 108 patients with coronary artery bypass grafting complicated with diabetes mellitus from June 2013 to June 2015 were analyzed retrospectively. among them, 9 patients had postoperative incision infection, the types of pathogenic bacteria in patients with postoperative incision infection were analyzed, and the risk factors of incision infection in patients with coronary artery bypass grafting complicated with diabetes mellitus were analyzed. Results among 108 patients with coronary artery bypass grafting complicated with diabetes mellitus, 9 patients had postoperative incision infection (8.33%), 17 strains of pathogenic bacteria were isolated, including 9 strains of Gram-negative bacteria (52.94%), 6 strains of Gram-positive bacteria (35.29%), 2 strains of fungi (11.76%), 6 strains of Gram-positive bacteria (35.29%) and 2 strains of fungi (11.76%). The risk factors of incision infection in patients with coronary artery bypass grafting complicated with diabetes mellitus were long duration of aortic occlusion, long cardiopulmonary bypass time, short use time of antibiotics and long hospitalization days, which were the risk factors of incision infection in patients with coronary artery bypass grafting complicated with diabetes mellitus (P 0.05), such as long course of disease, low fasting blood glucose, poor treatment of diabetes mellitus, long duration of antibiotics and long hospitalization days. Conclusion the main pathogens of incision infection in patients with coronary artery bypass grafting complicated with diabetes mellitus are Escherichia coli and Staphylococcus aureus. The patients with high BMI, diabetes have long course of disease, low fasting blood glucose, poor treatment status of diabetes mellitus, long aortic occlusion time, long cardiopulmonary bypass time, short application time of antibiotics and long hospitalization days to reduce the infection rate of incision after operation.
【作者單位】： 平頂山市第二人民醫(yī)院心胸外科;平頂山市第二人民醫(yī)院化驗(yàn)室;
【分類(lèi)號(hào)】：R587.1;R654.2
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本文編號(hào)：2519980