[1]张 坤. 四肢深度烧伤患者创面感染危险因素Logistic回归分析及预防措施x[J].中国美容医学,2020,(3):99-102.
　ZHANG Kun. Logistic Regression Analysis of Risk Factors for Wound Infection in Patients with DeepBurn of Extremities and Preventive Suggestions[J].Medical Aesthetics and Beauty,2020,(3):99-102.
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 四肢深度烧伤患者创面感染危险因素Logistic回归分析及预防措施
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《中国美容医学》[ISSN:1008-6445/CN:61-1347/R]

卷:
期数:
2020年3期
页码:
99-102
栏目:
出版日期:
2020-04-15

文章信息/Info

Title:
 Logistic Regression Analysis of Risk Factors for Wound Infection in Patients with Deep
Burn of Extremities and Preventive Suggestions
文章编号:
1008-6455（2020）03-0099-04
作者:
张 坤
Author(s):
 ZHANG Kun
关键词:
 ; [关键词]深度烧伤; 四肢; 创面感染; 危险因素; 预防
Keywords:
 ; Key words: deep burns;  extremities;  wound infection;  risk factors;  preventive
分类号:
R622
文献标志码:
A
摘要:
[摘要]目的：以Logistic回归分析探讨四肢深度烧伤患者创面感染的危险因素，并提出预防建议。方法：对2013年8月-2018
年5月收治的四肢深度烧伤患者共120例的临床资料展开回顾，统计创面感染的发生例数和发生率，总结可能的危险因素并
对比发生感染者和未发生感染者间差异，以Logistic回归分析探讨其危险因素。结果：本组患者中创面感染率为16.67%
（20/120），其中革兰阴性菌、革兰阳性菌、真菌的构成比分别为51.16%、44.19%、4.65%；发生感染者Ⅲ度烧伤、合
并糖尿病、营养不良、家属手卫生依从性差、入院至修复手术时间＞1周、手术时间＞2h、术后残余创面、联合使用抗生
素构成比均高于未发生感染者，差异有统计学意义（P ＜0.05）；均经Logistic回归分析证实为危险因素（OR =6.560、
7.199、5.171、9.757、4.988、6.443、4.183、4.983，P ＜0.05）。发生感染者术后负压引流构成比低于未发生感染
者（P ＜0.05），经Logistic回归分析证实为保护因素（OR =0.475，P ＜0.05）；两者年龄、烧伤面积、预防性使用抗生
素时间分布对比差异均有统计学意义（P ＜0.05），且经Logistic回归分析证实年龄＜16岁、年龄≥60岁、烧伤面积≥20%
且＜40%、烧伤面积≥40%、预防性使用抗生素时间≥3d且＜10d、预防性使用抗生素时间≥10d均为危险因素（OR =6.092、
7.287、7.207、14.629、5.063、6.653，P ＜0.05）。结论：四肢深度烧伤患者创面感染的风险高，革兰阴性菌和革兰阳性
菌均较为常见，年龄＜16岁、年龄≥60岁、Ⅲ度烧伤等均是其危险因素，术后负压引流是其保护因素。

Abstract:
Abstract: Objective Logistic regression analysis was used to explore the risk factors of wound infection in patients with deep
burn of extremities, and preventive suggestions were put forward. Methods The clinical data of 120 patients with deep burn
of extremities admitted from August 2013 to May 2018 were reviewed. The incidence and incidence rate of wound infection
were counted. The possible risk factors were summarized and the differences between the occurrence and non-occurrence were
compared. The risk factors were discussed by logistic regression analysis. Results The infection rate of wounds in this group
was 16.67% (20/120), and the proportions of gram-negative bacteria, Gram-positive bacteria and fungi were 51.16%, 44.19%
and 4.65% respectively. The proportions of Ⅲ degree burns, diabetes mellitus, malnutrition and poor hand hygiene compliance
of the family members, time from admission to repair surgery ＞1 week, operation time ＞2h, residual wound after operation,
combined use of antibiotics in the patients were higher than those in the non-patients (P ＜0.05). The risk factors were confi rmed
by logistic regression analysis (OR=6.560, 7.199, 5.171, 9.757, 4.988, 6.443, 4.183, 4.983, P ＜0.05). The application ratio of
negative pressure drainage after operation in the patients was lower than that in the non-patients (P ＜0.05). Logistic regression
analysis confi rmed that it was a protective factor (OR=0.475, P ＜0.05). There were signifi cant differences in age, burn area
and time distribution of prophylactic use of antibiotics between the incidence patients and non-incidence patients (P ＜0.05).
Logistic regression analysis confi rmed that the risk factors were age ＜16, age≥60, burn area＜20% and ＜40%, burn area more
than or equal to 40%, preventive use of antibiotics ＜3d and ＜10d, and preventive use of antibiotics ＜10d (OR=6.092, 7.287,
7.207, 14.629, 5.063, 6.653, P ＜0.05). Conclusion Patients with deep burn of extremities are at high risk of wound infection,
and gram-negative bacteria and gram-positive bacteria are common. Age ＜16 years old, age ≥60 years old, degree Ⅲ burns
and so on are risk factors, while the application of negative pressure drainage after operation is its protective factor.

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更新日期/Last Update: 2020-04-28