胸外科食管癌与肺癌手术部位感染目标性监测  

Targeted surveillance of surgical site infections in patients with esophageal and lung cancer in thoracic surgery department

作　　者：徐华[1] 李卫光[1] 王一兵[1] 朱其凤[1] 贾磊[1] 顾安曼[1] 

机构地区：[1]山东大学附属省立医院感染管理办公室,山东济南250021

出　　处：《中华医院感染学杂志》2012年第21期4761-4763,共3页Chinese Journal of Nosocomiology

基　　金：山东省医药卫生科技发展项目(2011HW056)

摘　　要：目的通过开展胸外科食管癌和肺癌手术部位感染(SSI)目标性监测,了解手术部位感染发生率和相关危险因素,以便采取有效控制措施。方法采用前瞻性调查方法,对2011年7-12月胸外科全部食管癌和肺癌的手术患者进行调查,并在术后1个月对患者进行随访,了解手术部位感染情况。结果调查病例共计168例,其中23例发生手术部位感染,感染率为13.69%;食管癌和肺癌感染率分别为26.47%和5.00%,二者差异有统计学意义;甲、乙、丙3名主刀医师手术患者手术部位感染率分别9.62%、13.73%和16.92%,经过手术危险指数校正后分别调整为16.67%、38.90%和36.66%,差异有统计学意义;通过logistic回归分析,高龄、伴有糖尿病、术前住院时间、总住院时间和手术持续时间是手术部位感染的危险因素。结论胸外科食管癌手术部位感染率高于肺癌,应加强手术患者出院后随访工作,同时开展目标性监测可以有效降低手术部位感染发生率。OBJECTIVE To understand the incidence and the risk factors of surgical site infections（SSI） by target surveillance of esophageal and lung cancer in thoracic surgery,so as to take effective control measures.METHODS A prospective survey was performed for all the patients undergoing esophageal and lung cancer surgery in thoracic surgery from Jul to Dec in 2011,and all the patients accepted one-month follow-up to clarify the wound healing.RESULTS A total of 168 cases were surveyed,SSI occurred in 23 cases with the infection rate of 13.69%.There was significant difference in the infection rate between the patients with esophageal and lung carcinoma,with the infection rates of 26.47% and 5.00%,respectively.Of three surgeons,the SSI rates were 9.62%,13.73%,and 16.92%,respectively.After correction of surgical risk index,the SSI rates were adjusted to 16.67%,38.90%,and 36.66%,with significant difference.The logistic regression analysis showed that the advanced age,combination of diabetes,preoperative length of stay,and operation duration were the risk factors of SSI.CONCLUSION The incidence rate of SSI is higher in the patients with esophageal cancer than in the patients with lung caner in the thoracic surgery department.It is necessary to strengthen the follow-up after the patients discharged from the hospital and conduct the targeted surveillance so as effectively reduce the incidence of SSI.

关 键 词：食管癌 肺癌 手术部位感染 目标性监测 

分 类 号：R619.3[医药卫生—外科学]