抗菌手术薄膜在预防神经外科手术部位感染效果研究
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卢昌懿

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R181.3+2

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Effect of antimicrobialimpregnated incise drape  on preventing surgical site infection following  neurosurgical  operation
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    摘要:

    目的了解抗菌手术薄膜对降低神经外科患者手术部位感染(SSI)的效果。方法将2012年1—12月某院神经外科病变手术患者分为使用抗菌手术薄膜组(A组)和普通手术薄膜组(B组),比较两组患者术后SSI发生率,并进行危险因素分析。 结果A组患者术中手术切口薄膜起边率为38.3%(98/256),低于B组的96.88%(248/256),两组患者薄膜起边率比较,差异有统计学意义(χ2=200.57,P<0.01)。512例患者,发生SSI 17例,发生率为3.32%, A组患者SSI发生率为1.56%(4/256),低于B组的5.08%(13/256)(χ2= 7.93,P<0.05)。神经外科SSI高危因素多因素分析结果表明,体重指数(BMI)≥24、出现围手术期低体温、吸烟、术前住院日数≥5 d,以及未使用抗菌手术薄膜均是神经外科SSI独立危险因素。结论神经外科手术中是否使用抗菌手术薄膜是神经外科SSI的独立危险因素之一;使用抗菌手术薄膜能有效降低起边率和SSI发生率,建议在神经外科手术中使用。

    Abstract:

    ObjectiveTo investigate the  effect of antimicrobialimpregnated incise drape on preventing surgical site infection(SSI)  following  neurosurgical operation.MethodsPatients undergoing neurosurgical operation from January to December 2012 were divided into two groups: antimicrobialimpregnated incise drape group(group A) and  general incise drape group(group B). The occurrence of SSI and risk factors for SSI were analyzed.ResultsPercentage of drape lifting at the wound edge in group A was lower than group B(38.3%[98/256] vs 96.88% [248/256], χ2=200.57,P<0.01). Among 512 patients, SSI rate was 3.32%(n=17), SSI rate  in group A was lower  than group B(1.56%[4/256] vs 5.08%[13/256], χ2= 7.93,P<0.05 ). Multivariate analysis revealed that body mass index ≥24, perioperative hypothermia, smoking, perioperative length of hospital stay ≥5 days, and lack of drape use were independent risk factors for SSI  following  neurosurgical operation.ConclusionWhether antimicrobialimpregnated incise drape is used in neurosurgical operation is one of the independent risk factors for SSI  following  neurosurgical operation, it can effectively reduce the drape lifting rate and incidence of SSI, and  is recommended to be used in neurosurgical operation.

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胡玲,卢昌懿,杨翠凤,等.抗菌手术薄膜在预防神经外科手术部位感染效果研究[J]. 中国感染控制杂志,2015,14(6):389-392. DOI:10.3969/j. issn.1671-9638.2015.06.008.
HU Ling, LU Changyi, YANG Cuifeng, et al. Effect of antimicrobialimpregnated incise drape  on preventing surgical site infection following  neurosurgical  operation[J]. Chin J Infect Control, 2015,14(6):389-392. DOI:10.3969/j. issn.1671-9638.2015.06.008.

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  • 收稿日期:2014-07-01
  • 最后修改日期:2014-09-12
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  • 在线发布日期: 2015-06-30
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