普外科手术切口感染目标性监测分析  

Targeted surveillance and analysis of surgical incision infections in general surgery department

作　　者：吴琛[1] 冯薇[1] 乔美珍[1] 刘月秀[1] 吴旭琴[1] 金美娟[1] 

机构地区：[1]苏州大学附属第一医院感染管理科,江苏苏州215006

出　　处：《现代预防医学》2013年第15期2808-2810,共3页Modern Preventive Medicine

摘　　要：目的分析普外科手术切口感染的危险因素,为更好地预防与控制切口感染提供依据。方法采用前瞻性调查方法,对2008年10月～2010年9月在普外科住院的胃,肠,乳房等疾病并实施手术的1706例次患者手术切口感染情况进行调查分析。结果切口感染65例,感染率为3.81%,其中Ⅰ、Ⅱ、Ⅲ类切口感染率分别为0.68%、3.92%、8.06%,差异有统计学意义(χ2=16.89,P﹤0.01),手术时间、手术类型、输血与否及患者年龄与普外科手术切口感染密切相关,单因素分析和Logistic逐步回归分析,差异均有统计学意义(P﹤0.01和P﹤0.05)。结论应尽量缩短手术时间,减少术中出血,减少输血,提高老年患者防御能力,严格执行无菌操作,特别是急症手术,胃肠道手术,术前做好肠道准备,有效预防与控制切口感染。OBJECTIVE To analyze the risk factors of operative incision infection in general surgery department, in order to provide a basis for better prevention and control of it. METHODS We took a prospective study, targeting 1706 subjects with operations on stomach, or intestine, or breast, who visited our general surgery department from October 2008 to September 2010. RESULTS There are 65 subjects suffered from the surgical incision infection with a rate of 3.81% , and among which, the infective rates of typesⅠ, Ⅱand Ⅲ were 0.68%, 3.92% and 8.06% respectively （χ2=16.89, P﹤0.01）. Moreover, the duration of operation, type of surgery, blood transfusion or not during operation, as well as the age were correlated with the infection of surgical incision （P﹤0.01 and P﹤0.05） after being analyzed by χ2 test and Logistic stepwise regression analysis. CONCLUSION Incision infection in general surgery department can be effectively prevented and controlled by the following methods： minimizing operating time, decreasing bleeding and decreasing blood transfusion as far as possible; enhancing the defense capability in elderly patients; with strict aseptic operations, particularly in emergency operation; and of course, using antibiotics rationally, before surgery, ready to do gastrointestinal preparation for surgery.

关 键 词：普外科 手术切口 感染 目标性监测 

分 类 号：R63[医药卫生—外科学]