普外科手术切口感染因素调查分析  

Investigation and analysis of factors of general surgical incision infections

作　　者：黄迪君 倪红红 陆玲玲 

机构地区：[1]慈溪市第三人民医院外科,浙江慈溪315324

出　　处：《中华医院感染学杂志》2014年第24期6163-6164,6167,共3页Chinese Journal of Nosocomiology

基　　金：浙江省自然科学基金资助项目(Y2100660)

摘　　要：目的分析普外科手术患者的临床资料,了解手术切口感染的相关因素,探讨降低普外科手术切口感染率的护理措施。方法选取2010年9月-2013年9月普外科3 256例手术患者的临床资料,采用回顾性分析法对手术患者的临床资料进行分析,采用SPSS13.0进行统计处理。结果共3 256例患者其中发生手术切口感染82例,切口感染率为2.52%;共分离出110株病原菌,其中以革兰阴性菌为主,共78株占70.91%;经logistic多因素回归分析,有基础疾病、手术用时间>120min、手术性质、住院时间>26d及Ⅲ类手术切口是手术切口感染的高危因素。结论医院相关部门应积极采取相应护理措施,以此降低切口感染的发生率。OBJECTIVE To analyze the clinical data of patients in general surgery department and to understand the related factors of general surgical incision infections ,so as to carry out the effective nursing measures to reduce the rate of general surgical incision infections .METHODS The retrospective analysis was conducted to 3256 patients with surgical incision infections after general surgery from Sep .2010 to Sep .2013 .SPSS 13 .0 was adopted for a statistic analysis .RESULTS Clinical data showed 82 cases had got incision infections among 3 256 cases of general surgery incision infections ,and the infection rate was 2 .52% .A total of 110 strains of pathogenic bacteria were i‐solated ,among them 78 were gram‐negative bacteria ,accounting for 70 .91% .logistic regression analysis showed that ,the high risk factors for infection of incision operation were underlying diseases ,over 120 minutes surgery time ,the types of the surgery ,over 26 days′hospitalization time and type Ⅲ surgery incision .CONCLUSION The relevant departments of the hospital should take appropriate nursing measures in order to reduce the rate of general surgical incision infections .

关 键 词：普外科 切口感染 因素调查 护理措施 

分 类 号：R619.3[医药卫生—外科学]