| 腰椎管狭窄症术后感染及危险因素分析 |
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| 引用本文： | 杨林,海涌,周君琳,曲铁兵. 腰椎管狭窄症术后感染及危险因素分析[J]. 中华医院感染学杂志, 2011, 21(14): 2906-2908 |
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| 作者姓名： | 杨林 海涌 周君琳 曲铁兵 |
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| 作者单位： | 首都医科大学附属北京朝阳医院骨科,北京,100020 |
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| 摘 要： | 目的分析腰椎管狭窄症术后感染的危险因素,为临床合理使用抗菌药物和控制医院感染提供科学依据。方法采用前瞻性监测和回顾性调查相结合的方法,对2009年1月-2010年12月入住骨科的206例腰椎管狭窄症患者临床资料进行统计分析。结果腰椎管狭窄症术后感染发生率为3.4%,其中上呼吸道感染占42.9%,肺部感染占57.1%,伴有伤口局部感染占42.9%;病原菌以革兰阴性菌为主,占57.1%,其次是革兰阳性菌,占42.9%,且对多种抗菌药物有不同程度的耐药性。结论认真施行无菌操作,严格掌握手术适应证,熟练进行手术操作,尽可能缩短手术时间,加强环境管理和感染监控,合理使用抗菌药物,积极治疗基础疾病,对降低腰椎管狭窄症术后感染具有重要意义。
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| 关 键 词： | 腰椎管狭窄症 术后感染 危险因素 医院感染 抗菌药物 |
Related risk factors for postoperative infections of lumbar spinal stenosis |
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| YANG Lin,HAI Yong,ZHOU Jun-lin,QU Tie-bing. Related risk factors for postoperative infections of lumbar spinal stenosis[J]. Chinese Journal of Nosocomiology, 2011, 21(14): 2906-2908 |
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| Authors: | YANG Lin HAI Yong ZHOU Jun-lin QU Tie-bing |
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| Affiliation: | YANG Lin,HAI Yong,ZHOU Jun-lin,QU Tie-bing(Beijing Chaoyang Hospital,Affiliated to Capital Medical University,Beijing 100020,China) |
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| Abstract: | OBJECTIVE To analyze the risk factors of postoperative infection in the lumbar spinal stenosis,to provide the scientific bases for clinical reasonable use of antiseptic medcine and controlling hospital infection.METHODS A prospective study combining with retrospective investigation method were carried out.The clinical data of 206 patients with lumbar spinal stenosis were analyzed at orthopaedic department from Jan 2009 to Dec 2010.RESULTS Lumbar spinal stenosis postoperative infection rate was 3.40%.And res... |
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| Keywords: | Lumbar spinal stenosis Postoperative infection Risk factors Nosocomial infection Antibiotic |
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