手术室预防切口感染的措施  

Prevention measures for incision infections in operating room

作　　者：许丽华[1] 潘瑞红[2] 陈红玲[3] 

机构地区：[1]随州市中心医院手术室,湖北随州441300 [2]随州市中心医院护理部,湖北随州441300 [3]随州市中心医院妇产科,湖北随州441300

出　　处：《中华医院感染学杂志》2014年第6期1507-1508,共2页Chinese Journal of Nosocomiology

基　　金：湖北省自然科学基金资助项目(JX2B97)

摘　　要：目的研究手术切口感染的手术室相关因素及预防措施,降低手术感染的发生率。方法选择2009年3月-2012年3月医院收治的行各类手术的22 733例患者进行调查分析;并对200例发生手术切口感染的患者进行研究,采用logistic回归分析引起手术切口感染的手术室相关因素;采用SPSS18.0进行数据统计分析。结果术后手术室空气质量、人员流动、器械清洁状况以及无菌操作规范等多项手术室相关因素均是手术患者切口感染的相关因素;未感染组患者的住院时间为(10.1±2.0)d,住院费用为(1.0±0.2)万元,感染组患者的住院时间为(13.2±2.3)d,住院费用为(1.5±0.3)万元,未感染组患者的住院时间明显短于感染组,未感染组患者的住院费用明显少于感染组,两组比较差异有统计学意义(P<0.05)。结论对手术切口感染的手术室相关因素进行积极预防,可显著降低手术感染的发生率,缩短住院时间,降低住院费用,效果良好。OBJECTIVE To observe the related factors for surgical incision infections in operating room and put forward prevention measures so as to reduce the incidence of surgical infections. METHODS From Mar 2009 to Mar 2012, totally 22 733 patients who underwent various types of surgeries in the hospital were enrolled in the study, then the 200 cases of surgical incision infections were studied, the logistic regression analysis was performed to analyze the related factors for the surgical incision infections, and the data were analyzed with the use of SPSS 18.0 software. RESULTS The air quality of operating room, mobility of personnel, cleanliness of equipment, and condition of aseptic operation specifications were the related factors for the incision infections. The hospitalization duration was （10. 1±2.0）days in the non-infection group, （13.2!2.3）days in the infection group; the cost of hospitalization was （10.0±2） ten thousand yuan in the non-infection group, （15±3）ten thousand yuan in the infection group; the hospitalization duration of the non-infection group was significantly shorter than that of the infection group, and the eonst of hospitalization of the non-infection group was significantly less than that of the infec- tion group （P〈0.05）. CONCLUSION The active prevention of the related factors for the surgical incision infections in the operating room can significantly reduce the incidence of surgical infections, shorten the hospitalization duration, reduce the cost of hospitalization, and achieve good effect.

关 键 词：切口感染 手术室 预防 

分 类 号：R619.3[医药卫生—外科学]