某院妇科手术部位感染目标性监测及干预  

Targeted monitor and intervention strategies on surgical site infection following gynecological surgical procedure

作　　者：张亚军[1] 孙庆芬[1] 顾彩霞[1] 李曼[1] 

机构地区：[1]赤峰学院附属医院,内蒙古赤峰024000

出　　处：《中国感染控制杂志》2013年第3期205-207,共3页Chinese Journal of Infection Control

摘　　要：目的了解某院妇科手术部位感染(SSI)现状,分析可能的危险因素,探讨降低SSI发病率的有效措施。方法 2011年1月1日—12月31日,对该院两个妇科病区行剖腹子宫切除术、阴式子宫切除术、腹腔镜下子宫切除术的所有患者进行监测,定期汇总分析,比较采取干预措施前(2011年1月1日—6月30日监测的病例,设为对照组)和干预措施落实后(2011年7月1日—12月31日监测的病例,设为干预组)的SSI率。结果对照组共1 120例患者,其中剖腹子宫切除术648例,SSI率为4.94%;阴式子宫切除术212例,SSI率为9.43%;腹腔镜下子宫切除术260例,未发生SSI。干预前妇科病区平均SSI率为4.64%(52/1 120),两个妇科病区平均SSI率(5.38%vs 4.00%)对比,差异无统计学意义(χ2=1.206,P>0.05);采取针对性干预措施后,干预组SSI率下降至1.57%(20/1 272),显著低于对照组的4.64%(χ2=19.23,P<0.001)。结论采取目标性监测方式,对监测项目的危险因素进行汇总分析,并采取针对性的干预措施,能够达到降低SSI率的目的。ObjectiveTo realize surgical site infection （SSI） following gynecological surgical procedure, analyze the possible risk factors, and explore effective measures on reducing the incidence of SSI.MethodsFrom January 1 to December 31,2011, patients receiving abdominal hysterectomy, vaginal hysterectomy, and laparoscopic hysterectomy in two gynecological departments of a hospital were monitored, SSI rates before intervention（from January 1 to June 30,2011, control group） and after intervention（from July 1 to December 31,2011, intervention group） were analyzed and compared.ResultsA total of 1 120 patients were in control group, including 648 cases of abdominal hysterectomy, SSI rate was 4.94%; 212 vaginal hysterectomy, SSI rate was 9.43%; 260 laparoscopic hysterectomy, there was no SSI; the average SSI rate in two departments was 4.64%（52/1 120）, SSI rate between two departments was not significantly different（5.38% vs 4.00%, X2=1.206,P〉0.05）, the average SSI rate in intervention group was significantly lower than control group （1.57%[20/1 272] vs 4.64%, X2=19.23,P〈0.001）.ConclusionThrough targeted monitor, risk factors are analyzed, intervention measures are performed,and SSI can be reduced.

关 键 词：妇科手术 切口感染 手术部位感染 干预 危险因素 

分 类 号：R181.34[医药卫生—流行病学]