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围术期综合措施预防婴幼儿心脏手术切口感染的研究

王刚 周更须 殷秀 王辉 陈曦 辛成雷

发育医学电子杂志2016,Vol.4Issue(3):162-164,168,4.
发育医学电子杂志2016,Vol.4Issue(3):162-164,168,4.

围术期综合措施预防婴幼儿心脏手术切口感染的研究

Research of performing comprehensive measures during perioperative period to prevent the incidence of wound infection in pediatric patients undergoing cardiac surgery

王刚 1周更须 1殷秀 1王辉 1陈曦 1辛成雷1

作者信息

  • 1. 陆军总医院附属八一儿童医院儿童心脏外科,北京 100700
  • 折叠

摘要

Abstract

Objective To discuss the comprehensive measures during perioperative period for sternal wound infections in children undergoing cardiac surgery.MethodsPatients from January 2013 to December 2014 who underwent cardiac surgery in our center were selected and randomly divided into the study group (n=337) and the control group (n=309). Study group received comprehensive measures to prevent wound infection; while control group received the routine measures.ResultsThe weight of study group and control group was (5.3±1.2) and (5.0±1.3) kg; the age was (6.2±3.3) and (7.2±1.4) months;extracorporeal circulation ratio was 47.5% (160/337) and 46.9% (145/309); and delay closed chest ratio was 14.8% (50/337) and 19.4% (60/309). There was no significant difference about the above indicators between two groups (P>0.05). The infection incidence ofⅠ、Ⅱ、Ⅲ type of study group and control group was 0.3% (1/337) and 0.6% (1/337), 0.0% (0/337) and 8.4% (26/309), 0.0% (0/337) and 1.0% (3/309);the average hospitalization days were (20.1±17.5) and (21.1± 15.5) d; the mean costs of hospitalization were (73 141±53 853) and (101 654±174 699) yuan. The above three indicators in study group were lower than control group (P<0.05).Conclusions Taking comprehensive preventive measures during perioperative period can greatly decrease the incidence of incision infection in pediatric patients undergoing cardiac surgery.

关键词

婴幼儿心脏手术/切口感染

Key words

Cardiac surgery, infant/Wound infection

引用本文复制引用

王刚,周更须,殷秀,王辉,陈曦,辛成雷..围术期综合措施预防婴幼儿心脏手术切口感染的研究[J].发育医学电子杂志,2016,4(3):162-164,168,4.

发育医学电子杂志

2095-5340

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