摘要
目的分析手部创面皮瓣修复术后感染的相关影响因素。方法对本院2010年8月至2020年8月期间收治的200例采用手部创面皮瓣修复术治疗患者的临床资料进行回顾性分析,根据其术后是否发生感染,对可能影响其术后发生感染的相关因素进行单因素分析和多因素Logistic回归分析。结果200例患者中,共计有10例患者术后发生感染,感染发生率5.00%。10例患者共计检出10株病原菌,其中革兰阳性菌和革兰阴性菌分别占比60.00%(6/10)和40.00%(4/10)。年龄因素、性别因素、损伤部位因素、合并基础性疾病因素以及受伤原因因素和患者术后感染的发生无显著关系(P>0.05),但是就诊时间、预防性使用抗生素、手术时间以及皮瓣面积和患者术后感染的发生存在显著相关(P<0.05)。导致患者术后发生感染的独立危险因素分别为就诊时间、预防性使用抗生素、手术时间以及皮瓣面积(P<0.05)。结论导致手部创面皮瓣修复术后发生感染的独立危险因素为就诊时间、预防性使用抗生素、手术时间以及皮瓣面积,临床需要针对相关危险因素尽早采取相应的预防控制策略,并且合理应用抗生素,尽量缩短患者的手术时间,以尽可能的降低其术后感染风险。
Objective To analyze the related influencing factors of infection after flap reconstruction in the surface of wound of hands.Methods The clinical data of 200 patients admitted to our hospital from August 2010 to August 2020 who underwent skin flap reconstruction in the surface of hand wound were retrospectively analyzed.According to whether the infection occurred after operation,the clinical data that may affect the related factors of infection were analyzed by single factor analysis and multivariate logistic regression analysis.Results Among 200 patients,10 patients developed infection after operation,and the infection rate was 5.00%.A total of 10 pathogens were detected in 10 patients,among which gram-positive bacteria and gram-negative bacteria accounted for 60.00%(6/10)and40.00%(4/10),respectively.Ages,gender,injury site,combined underlying disease and injury had no significant relationship with the incidence of postoperative infections(P>0.05),but the time of consultation,preventive use of antibiotics,operation time and flap area were significantly related to the incidence of postoperative infection in patients(P<0.05).The independent risk factors leading to postoperative infection in patients were the time of consultation,the use of prophylactic antibiotics,operation time,and the area of skin flaps(P<0.05).Conclusion The independent risk factors that lead to infection after flap reconstruction are the time of consultation,preventive use of antibiotics,operation time,and the area of??the flap.It is necessary to take appropriate preventive and control strategies for relevant risk factors as soon as possible,and use antibiotics reasonably.The operation time of the patients should be shortened as much as possible to reduce the risk of postoperative infection.
作者
梅林军
陈绵
刘淦良
谢广中
袁凯平
MEI Lin-jun;CHEN Mian;LIU Gan-liang;XIE Guang-zhong;YUAN Kai-ping(Houjie Hospital,Dongguan City,Guangdong,Dongguan,523945,China)
出处
《新疆医学》
2021年第12期1368-1370,共3页
Xinjiang Medical Journal
关键词
手部创面
皮瓣修复术
术后感染
影响因素
hand wound
flap reconstruction
postoperative infection
influencing factors
