肝胆手术后切口感染原因分析及防治对策  

Causes and countermeasures for incision infections after hepatobiliary surgery

作　　者：陈祥建[1] 尤和谊[1] 蔡华杰[1] 蒋飞照[1] 

机构地区：[1]温州医学院附属第一医院腔镜中心,浙江温州325000

出　　处：《中华医院感染学杂志》2012年第6期1144-1146,共3页Chinese Journal of Nosocomiology

摘　　要：目的总结分析肝胆手术后切口感染的原因和防治对策。方法回顾性分析460例肝胆手术后切口感染的危险因素,包括患者因素和手术操作因素,并提出相应的防治对策。结果 460例肝胆外科开腹手术患者,术后发生切口感染90例占19.6%;术后发生切口感染的危险因素依次是肥胖(OR=8.89,P<0.01)、切口类型(OR=7.22,P<0.01)、手术时间(OR=6.50,P<0.01)、术中失血量(OR=6.03,P<0.05)、糖尿病(OR=4.12,P<0.01)、患者年龄(OR=3.97,P<0.05)。结论手术中严格执行无菌操作、保证手术环境卫生、加强术后切口的护理、合理使用抗菌药物,可降低肝胆疾病术后切口感染的发生率。OBJECTIVE To summarize the causes and countermeasures for incision infections after hepatobiliary surgery.METHODS The risk factors for incision infections in 460 patients after hepatobiliary surgery,including the patients themselves and operation procedures,were retrospectively analyzed,and the corresponding countermeasures for prevention were proposed.RESULTS Incision infections occurred in 90（19.6%） of 460 patients who underwent hepatobiliary abdominal surgery;the risk factors for the incision infections after operation were respectively as the following：obesity（OR=8.89,P0.01）,the type of incision（OR=7.22,P0.01）,the duration of operation（OR=6.50,P0.01）,intraoperative blood loss（OR=6.03,P0.05）,diabetes（OR=4.12,P0.01）,and the age（OR=3.97,P0.05）.CONCLUSION To perform aseptic surgery strictly,keeping the operation environment clean,strengthening postoperative nursing for incision,and useing antibiotics reasonably can reduce the incidence of incision infections after hepatobiliary surgery.

关 键 词：肝胆手术 切口感染 原因分析 防治对策 

分 类 号：R619.3[医药卫生—外科学]