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外科手术围术期输血与术后感染的临床研究
  • ISSN号:1005-4529
  • 期刊名称:《中华医院感染学杂志》
  • 时间:0
  • 分类:R619.3[医药卫生—临床医学;医药卫生—外科学]
  • 作者机构:[1]郑州大学附属郑州中心医院输血科,河南郑州450007, [2]郑州大学附属郑州中心医院检验科,河南郑州450007, [3]郑州大学附属郑州中心医院消化内科,河南郑州450007
  • 相关基金:国家自然科学基金资助项目(81173127)
中文摘要:

目的探讨外科手术围手术期输血对术后感染的影响,为控制术后感染提供参考依据。方法选择2012年6月-2015年6月于外科进行治疗的200例围术期输血患者为研究组,另选择未进行输血的200例患者为对照组,对两组患者的术后感染率以及病原菌分布进行分析,采用SPSS18.0软件对所得的数据进行统计分析。结果观察组患者术后感染率为25.5%,明显高于对照组的2.5%,差异有统计学意义(P〈0.05);观察组患者感染部位以腹、盆腔深处及手术切口为主,对照组患者感染部位为血液、肺部、手术切口等,两组患者感染部位分布比较,差异有统计学意义(P〈0.05);观察组感染患者共分离出63株病原菌,其中革兰阴性菌占44.4%、革兰阳性菌占39.7%、真菌占15.9%,对照组感染患者共分离出14株病原菌,其中革兰阴性菌占42.9%、革兰阳性菌占35.7%、真菌占21.6%。结论外科手术围术期进行输血患者术后感染率明显上升。

英文摘要:

OBJECTIVE To investigate the effects of surgery perioperative blood transfusion on postoperative infection,so as to provide a reference for the control of postoperative infection.METHODS A total of 200 cases of perioperative blood transfusion patients in the hospital surgery department from Jun.2012 to Jun.2015 were selected as observation group,another 200 cases without blood transfusion set as control group,and the postoperative infection rate and the pathogen distribution of the two groups of patients were compared.The data were analyzed by SPSS18.0.RESULTS The postoperative infection rate of observation group(25.5%)was significantly higher than that of control group(2.5%)(P〈0.05).The main infection sites of observation group were the depths of abdomen and pelvis,and incision,and those of control group were blood,lung,and incision.There were significant differences between the two groups(P〈0.05).Totally 63 strains of pathogenic bacteria were isolated from observation group,and gram-negative bacteria,gram-positive bacteria and fungi were accounted for 44.4%,39.7%,and 15.9%,respectively.Totally 14 strains of pathogenic bacteria were isolated from observation group,and gram-negative bacteria,gram-positive bacteria and fungi were accounted for 42.9%,35.7%,and 21.6%,respectively.CONCLUSION Perioperative blood transfusion in surgery will promote the postoperative infection in patients.

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期刊信息
  • 《中华医院感染学杂志》
  • 北大核心期刊(2011版)
  • 主管单位:中国人民解放军总医院
  • 主办单位:中华预防医学会
  • 主编:
  • 地址:北京复兴路28号
  • 邮编:100039
  • 邮箱:zhyygrxzz@21cn.com
  • 电话:010-66939464
  • 国际标准刊号:ISSN:1005-4529
  • 国内统一刊号:ISSN:11-3456/R
  • 邮发代号:82-747
  • 获奖情况:
  • 中华预防医学会期刊评比优秀奖,中华预防医学会期刊评比编辑奖,中华预防医学会期刊评比学术奖
  • 国内外数据库收录:
  • 美国化学文摘(网络版),英国农业与生物科学研究中心文摘,波兰哥白尼索引,美国剑桥科学文摘,日本日本科学技术振兴机构数据库,中国中国科技核心期刊,中国北大核心期刊(2004版),中国北大核心期刊(2008版),中国北大核心期刊(2011版),中国北大核心期刊(2014版)
  • 被引量:111886