本文關(guān)鍵詞：耳鼻喉科患者低溫等離子術(shù)后醫(yī)院感染分析　出處：《中華醫(yī)院感染學(xué)雜志》2014年13期 　論文類型：期刊論文

  更多相關(guān)文章： 耳鼻喉科 低溫等離子術(shù) 醫(yī)院感染 抗菌藥物

【摘要】：目的觀察耳鼻喉科患者低溫等離子術(shù)后醫(yī)院感染的原因、臨床表現(xiàn)及影響因素,以利抗菌藥物的合理應(yīng)用。方法選擇醫(yī)院2010年3月-2013年3月耳鼻喉科行低溫等離子手術(shù)患者1 050例,其中發(fā)生醫(yī)院感染43例,設(shè)為感染組,未發(fā)生醫(yī)院感染1 007例,設(shè)為對照組,就感染率、感染發(fā)生相關(guān)原因、主要病原菌及臨床表現(xiàn)進行分析,并觀察圍術(shù)期抗菌藥物使用情況;數(shù)據(jù)采用SPSS13.0統(tǒng)計處理。結(jié)果 1 050例行低溫等離子手術(shù)患者中共發(fā)生醫(yī)院感染43例,感染率為4.10%,以手術(shù)部位感染最高,占48.84%;其次是呼吸道感染16例占37.22%,消化道感染6例占13.95%;手術(shù)時間長、≥2種預(yù)防性抗菌藥物聯(lián)用、合并糖尿病、營養(yǎng)狀況差、高齡等是易感因素(P0.05);共培養(yǎng)出病原菌47株,以革蘭陽性菌為主27株占57.45%,革蘭陰性菌20株占42.55%,前5位病原菌依次是金黃色葡萄球菌、凝固酶陰性葡萄球菌、大腸埃希菌、肺炎克雷伯菌和陰溝腸桿菌,分別占27.66%、23.40%、14.89%、12.77%、8.51%;所有患者均根據(jù)近期抗菌譜給予敏感抗菌藥物治療后感染得到控制,無其他相關(guān)并發(fā)癥發(fā)生。結(jié)論低溫等離子術(shù)雖然是耳鼻喉科安全微創(chuàng)的手術(shù)方式,但如未做好防護,也容易導(dǎo)致醫(yī)院感染,因此,術(shù)前評估,高�；颊卟扇∮行Ц深A(yù),手術(shù)時間長的患者做好感控預(yù)防是降低感染發(fā)生率的必要措施。
[Abstract]:Objective to observe the causes, clinical manifestations and influencing factors of nosocomial infection after hypothermia plasma surgery in patients with otolaryngology. Methods from March 2010 to March 2013, 1 050 patients underwent hypothermia plasma surgery in the department of otolaryngology, including 43 cases of nosocomial infection. There were 1 007 cases of nosocomial infection in the infection group and 1 007 cases in the control group. The infection rate, the causes of infection, the main pathogenic bacteria and the clinical manifestations were analyzed, and the use of antibiotics in perioperative period was observed. Results there were 43 cases of nosocomial infection in 1 050 patients undergoing hypothermia plasma surgery, the infection rate was 4.10%, the highest infection occurred in the operation site. 48.84; The second was respiratory tract infection in 16 cases (37.22) and digestive tract infection in 6 cases (13.95%). Long operation time, combined use of more than 2 prophylactic antimicrobial agents, diabetes mellitus, poor nutritional status, and old age were the predisposing factors. A total of 47 strains of pathogenic bacteria were cultured, 27 of which were Gram-positive bacteria (57.45), 20 were Gram-negative bacteria (42.55), and the first 5 were Staphylococcus aureus (Staphylococcus aureus). Coagulase negative staphylococci, Escherichia coli, Klebsiella pneumoniae and Enterobacter cloacae accounted for 27.66% and 23.40% respectively. All patients were treated with sensitive antimicrobial drugs according to the recent antimicrobial spectrum infection was controlled without other related complications. Conclusion hypothermia plasma surgery is a safe and minimally invasive method in otolaryngology. But it is easy to cause nosocomial infection if it is not well protected. Therefore, it is necessary to reduce the incidence of infection by preoperative evaluation, effective intervention of high risk patients and good control prevention of patients with long operation time.
【作者單位】： 貴州省黔東南州人民醫(yī)院耳鼻咽喉科;
【基金】：貴州省衛(wèi)生廳重點扶持基金資助項目(GW-2010A-1022)
【分類號】：R762
【正文快照】： 低溫等離子射頻消融手術(shù)(Coblation)是20世紀(jì)90年代應(yīng)用于臨床的先進、微創(chuàng)的外科技術(shù),該技術(shù)自臨床應(yīng)用以來[1],在喉、鼻等消融手術(shù)中取得了較好的效果。隨著Coblation技術(shù)的日益成熟[2],臨床適應(yīng)證不斷擴大,近年來還用于鼻咽部腫瘤及其他器官疾病的治療,以其創(chuàng)傷小、術(shù)后疼

【參考文獻】

相關(guān)期刊論文 前2條

1 李春輝;;預(yù)防鼻部金黃色葡萄球菌攜帶者的手術(shù)部位感染[J];中國感染控制雜志;2010年01期

2 趙叢然;隋福革;周繼輝;何曉峰;劉志強;邵林;崔斌;張凌飛;;低溫等離子射頻消融術(shù)治療頸性眩暈36例療效觀察[J];中國傷殘醫(yī)學(xué);2012年08期

【共引文獻】

相關(guān)期刊論文 前2條

1 江文文;劉廣霞;;針灸治療頸性眩暈概況[J];河南中醫(yī);2014年03期

2 王玉華;楊建;;中醫(yī)藥治療頸性眩暈研究進展[J];河南中醫(yī);2014年02期

相關(guān)碩士學(xué)位論文 前1條

1 朱光全;低溫等離子髓核消融術(shù)結(jié)合丹紅注射液治療頸性眩暈的臨床研究[D];北京中醫(yī)藥大學(xué);2014年

【二級參考文獻】

相關(guān)期刊論文 前1條

1 王峰,張佐倫,劉立成,袁澤農(nóng);頸性眩暈的病因及其治療[J];中國矯形外科雜志;2002年02期

【相似文獻】

相關(guān)期刊論文 前1條

1 夏力;段漢忠;周長璐;林永東;;低溫等離子手術(shù)用于兒童扁桃體切除的療效觀察[J];新醫(yī)學(xué);2011年02期

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