心脏起搏器置入患者术后感染的危险因素

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Abstract Objective To analyze risk factors for infections and nursing intervention in patients after implantation of heart pacemakers.Methods A total of 512 patients who had undergone heart pacemaker implantation between February 2014 and September 2016 were recruited in this study. These patients were divided into the intervention group (infection) and the sham group (non infection) according to the occurrence of infections. During the follow-up study, a series of clinical symptoms were recorded, and the causative factors were identified and analyzed using single logistic regression analysis of factors and multiple logistic regression analysis of factors.Results Among the 512 patients, 25 cases (4.50%) suffered from infections. Single factor analysis showed that the incidence of diabetes, too frequent operations, longer hospital stay, hematoma, and fat liquefaction of incision was significantly different. Multiple factors analysis showed that these were independent risk factors. Infections were mainly associated with diabetes (OR=3.56, 95%CI: 6.26-23.01), too frequent operations (OR=3.07, 95%CI:3.12-38.70), long durations of surgery (OR=2.96, 95%CI:1.67-24.65), hematoma (OR=2.76, 95%CI:1.31-18.90), and incision fat liquefaction (OR 2.36, 95%CI:1.31-3.65).Conclusions The incidence of postoperative infections in patients with pacemakers is relatively high, which can be significantly controlled after effective management. Longer durations of surgery, diabetes and hematoma are main factors for infections. Timely re-examination and regular follow-up are essential to the life quality of patients.

Key words： pacemaker postoperative infection risk factors

Received: 05 December 2016

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	WEI Ya

Cite this article:

WEI Ya. Analysis of risk factors for infection in patients after implantation of heart pacemakers[J]. Med. J. Chin. Peop. Armed Poli. Forc., 2017, 28(6): 551-553.

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http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2017/V28/I6/551

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