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| 冠状动脉旁路移植术切口感染相关因素分析 |
| Analysis of Infection-related Factors for Coronary Artery Bypass Grafting |
| 投稿时间：2007-06-11 修订日期：2007-09-03 |
| DOI： |
| 中文关键词: 冠状动脉旁路移植术 抗生素 感染 相关因素 |
| 英文关键词:Coronary artery bypass grafting,Antibiotics,Infection,Related factors |
| 基金项目:志谢：感谢核医学科沈锐、流行病研究室张林峰在数据统计和处理方面给予的支持和帮助. |
| 郑英丽 方丽 李红伟 |
中国医学科学院阜外心血管病医院药剂科，中国医学科学院阜外心血管病医院药剂科，中国医学科学院阜外医院病案室 (北京 100037)
，(北京 100037)
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| 中文摘要: |
| 目的:研究冠状动脉旁路移植术围手术期预防性应用抗生素的干预措施,对患者住院时间、感染率、住院费用、抗生素费用等方面的影响,探讨切口感染的相关因素。方法:按病例对照研究方法,选取2006年1～6月我院冠状动脉旁路移植术患者共614人,以感染和未感染作对照,记录患者各项观测指标,进行数据分析,分析切口感染的相关因素。结果:麻醉方式、术前住院时间、预防用药时间等指标为冠状动脉旁路移植术术后切口感染的相关因素。糖尿病与感染未表现相关。结论:根据患者自身状况,合理使用抗生素是预防手术切口感染的有效措施;缩短患者术前住院时间、采用非体外循环方式可以减少术后切口感染的发生;糖尿病患者有效控制血糖后,一样可以安全实施冠状动脉旁路移植术。 |
| 英文摘要: |
| Objective:To analyze infection-related factors for Coronary artery bypass grafting(CABG).Method: The cases undergoing operations with CABG from January to June in 2006 were 614.The records of the two sets of statistical indicators were kept and the data were analyzed to find the infection-related factors.Result:There were three factors related to infection:the measure of anaesthesia,the time of hospitalization before surgical operations and the duration of prophylac- tic antibiotics treatment.Diabetes mellitus was not a risk factor in our study.Conclusion:In view of patients'health condi- tion,prophylactic antibiotics can be used to prevent infection in surgical operations.Shortening the time of hospitalization before surgical operations and adopting off-pump coronary artery bypass grafting can decrease the infection.CABG is as safe for diabetic patients as for non-diabetic patients. |
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