脊柱术后围手术期内切口感染因素回顾性分析与防护措施  

Risk factors of incision infection during perioperative period after spinal surgery:a retrospective analysis and preventive measures

作　　者：范萍[1] 刁红霞[1] 张琳[1] 张宏[1] 郭凤丽[1] 徐燕[1] 张玲[1] 

机构地区：[1]天津市天津医院脊柱外科,天津300211

出　　处：《中华医院感染学杂志》2011年第11期2240-2241,共2页Chinese Journal of Nosocomiology

摘　　要：目的探讨脊柱术后切口深部感染、愈合不良的原因及防护措施。方法回顾性分析脊柱外科2007年1月-2010年7月收治的3118例患者切口感染的发生情况,并分析可能影响手术患者围手术期内切口感染的相关因素及采取的相关防护措施。结果 3118例脊柱手术患者中,发生切口深部感染20例,感染率0.64%,切口愈合不良15例,发生率为0.48%;患者均及时行切口深部组织清创灌洗引流手术,切口Ⅰ期愈合。结论脊柱术后发生切口感染后果严重,早期采取积极的治疗及护理措施,可挽救脊髓、神经功能,促使患者早日康复。OBJECTIVE To investigate the reasons and prevention measures of postoperative incision deep infection,poor healing in spine surgery.METHODS A retrospective analysis of 3118 infection cases occurred during Jan 2007 to 2010 Jul was performed,and the risk factors of surgical incision infection among surround operation period and measures were analyzed.RESULTS The incidence of incision deep infection was 0.64%（20 cases）,incision poor healing was 0.48%（15 cases） among 3118 spine surgery cases.All of the infection cases had been given debridement,lavage and drainage timely,and all incision had primary intention healing.CONCLUSION The consequences of spine incision infection is serious,to take active therapy and nursing measures early can save the spinal cord,neural function and make patients recover sooner.

关 键 词：脊柱 手术 切口感染 防护措施 

分 类 号：R181.32[医药卫生—流行病学]