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| 结缔组织病损切除术切口感染危险因素及对医疗费用影响的研究 |
| Risk Factors of Incision Infection and Effection of Incision Infection on Medical Expenses in Connective Tissue Disease Resection |
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| DOI： |
| 中文关键词: 结缔组织 切口感染 危险因素 Logistic回归分析 |
| 英文关键词:Connective tissue Incision infection Infection factor Logistic regression analysis |
| 基金项目:广西玉林市科技局立项课题（编号：玉科计字20147011） |
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| 中文摘要: |
| 摘 要 目的：探讨结缔组织病损切除术术后切口感染的独立危险因素和切口感染对医疗费用的影响，为有效预防和控制切口感染的发生提供参考依据。方法：抽取某院2014～2016年行结缔组织病损切除术的患者病例共253例，统计分析其临床资料。以患者术后切口是否发生感染作为因变量，以性别和年龄等相关因素为自变量，采用Logistic回归模型分析术后切口感染的独立危险因素。结果：253例行结缔组织病损切除术的患者中位于前三的病种分别为躯干血管瘤（12.25%）、肢体血管瘤（11.46%）和坐骨滑膜囊瘤（9.09%）。共有14例患者发生切口感染，切口感染率为5.53%。单因素分析显示，患者全麻、输血、合并糖尿病基础疾病等3项因素与切口感染的发生具有相关性（P＜0.05）；多因素非条件Logistic回归分析显示，全麻、输血、合并糖尿病基础疾病是结缔组织病损切除术切口感染的独立危险因素（P＜0.01）。感染组的药品费用和医疗总费用明显高于非感染组（P＜0.01），两组手术治疗费用的差异无统计学意义（P＞0.05）。结论：术前控制患者的基础疾病状态，完善和落实输血制度的管理，提高麻醉医务人员的无菌操作观念，可能有利于控制结缔组织病损切除术发生切口感染的风险和降低相关医疗费用。 |
| 英文摘要: |
| ABSTRACT Objective:To discuss the risk factors of incision infection and influence of incision infection on medical expenses in connective tissue disease resection in order to provide a reliable scientific reference to control and reduce incision infection. Methods:The clinical dates of 253 patients with connective tissue disease resection in our hospital from 2014 to 2016 were analyed. With incision infection serving as dependent variable, and with gender, age and other related factors as independent variable, single factor analysis and logistic regression analysis were used to identify the risk factors for incision infection. Results:The top three of connective tissue disease was listed as follow: Hemangioma of trunk (12.25%), Hemangioma of limb (11.46%) and Sciatic synovial sac tumor (9.09%). There were 14 cases with the infection who taken connective tissue disease resection in 253 cases and the infection rate was 5.53%. The single factor analysis showed that 3 factors including general anesthesia and blood transfusion and basic diseases had significant on the incision infection of connective tissue disease resection (P<0.05). The logistic regression analysis showed that there were 3 related factors screened impact factors, including general anesthesia and blood transfusion and concomitant diabetes mellitus basic diseases were the possible independent risk factors of surgery incision infection (P<0.01). The drug cost and medical cost in the infection group were significantly higher than those in the uninfection group (P<0.01). 〖WTHZ〗Conclusion:〖WTBZ〗Perfecting preoperative examination and controlling acute symptoms, implementing the system of perioperative blood transfusion strictly and improving the anesthesia medical personnel concept of aseptic operation, maybe cloud control the risk of incision infection and reduce the medical cost of patients. |
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