肠道手术围术期低体温与手术部位感染关系研究  

Correlation between hypothermia during perioperative period of intestinal surgery and surgical site infections

作　　者：郑彩娟[1] 

机构地区：[1]浙江中医药大学附属第二医院手术室,浙江杭州310005

出　　处：《中华医院感染学杂志》2013年第12期2891-2892,共2页Chinese Journal of Nosocomiology

基　　金：浙江省医药卫生科技计划项目(2011KYA114)

摘　　要：目的探讨结肠及直肠手术患者围手术期低体温与手术部位感染(SSI)之间的关系,以降低SSI发生率。方法选取2010年10月-2012年5月收治的190例结肠及直肠手术患者为研究对象,随机分为研究组和对照组各95例,研究组患者在常规护理基础上加以保温措施,对照组仅进行常规护理,比较两组低体温和SSI的发生率,总结两者的关系。结果研究组患者低体温发生率为0,SSI发生率7.37%,对照组患者低体温发生率为98.95%,SSI发生率18.95%,研究组低体温和SSI发生率明显低于对照组,差异有统计学意义(P<0.05),体温越高SSI发生率越低,切口恢复与体温高低成正比。结论结肠及直肠手术患者SSI发生率与低体温有关,围手术期施以保温措施干预,可以减少低体温的发生,降低SSI的发生率。OBJECTIVE To explore the relationship between the perioperative hypothermia in the colon and rectal surgery patients and the surgical site infections （SSI） so as to reduce the incidence of SSI. METHODS A total of 190 patients, who underwent colon and rectal surgery in the hospital from Oct 2010 to May 2012, were selected as the study objects and were randomly divided into the study group and the control group with 95 cases in each. The patients in the study group were treated with the insulation measures on the basis of routine care, while the patients in the control group were only given the routine nursing, then the incidence of hypothermia or the SSI was compared between the two groups, and the relationship between the two was observed. RESULTS The incidence of hypothermia was 0% in the study group, significantly lower than 98.95% of the control group; the incidence of SSI was 7.37% in the study group, significantly lower than 18.95% of the control group, the difference in the in- cidence of hypothermia or SSI between the study group and the control group was statistically significant. The higher the body temperature, the lower the incidence of SSI, and the healing of the incision was positive correlated with the body temperature. CONCLUSION The incidence of SSI in the colon and rectal surgery patients is correla- ted with the hypothermia. The implementation of insulation interventions during perioperative period can reduce the incidence of hypothermia as well as the incidence of SSI.

关 键 词：结肠 直肠 低体温 手术部位感染 

分 类 号：R619.3[医药卫生—外科学]