63例肝胆手术部位感染相关因素分析  

63 cases of liver surgical site infection related factors analysis

作　　者：吴晓春[1] 成燕[2] 候章梅 杨薇[2] 

机构地区：[1]重庆市第三人民医院肝胆外科,400014 [2]重庆市第三人民医院医院感染管理科,400014

出　　处：《重庆医学》2015年第6期775-776,779,共3页Chongqing medicine

摘　　要：目的对肝胆手术部位感染相关影响因素进行探讨。方法回顾性分析1 187例肝胆手术患者的临床资料,采用SPSS12.0软件对数据进行统计分析。结果 1 187例肝胆手术患者发生手术部位感染63例,感染率5.31%,其中切口浅部组织51例,切口深部组织8例,器官腔隙4例,分别占80.95%、12.70%和6.35%。分离出革兰阴性菌15株,占55.56%,革兰阳性菌12株,占44.44%,其中革兰阴性菌以大肠埃希菌、革兰阳性菌以金黄色葡萄球菌检出最多,分别占25.93%和14.81%,未分离出真菌;年龄、有无合并糖尿病、引流时间、术后并发症、手术时间和开腹手术等为手术部位感染的独立危险因素(P<0.05)。结论肝胆外科患者手术部位感染与多种因素有关,应加强患者术前术后病情评估,同时提高手术操作水平,从而降低手术部位感染率。Objective To liver surgical site infection related influencing factors were discussed.Methods Retrospective analysis the clinical data of A total of 1 187 patients with liver and gallbladder surgery,using SPSS12.0software for statistical analysis of data.Results A total of 1 187 cases of liver and gallbladder surgery patients and 63 cases of surgical site infection occurred,the infection rate of 5.31%,including incision shallow tissue 51 cases,8incision deep tissue,organ lacuna in 4cases,accounted for80.95%,12.70% and 6.35% respectively.Isolated pathogenic bacteria distribution and composition ratios were as follow,15 strains of gram-negative bacteria（55.56%）,12 gram positive bacteria strains（44.44%）,including gram-negative bacteria in e.coli,gram-positive bacterium with staphylococcus aureus detection most（25.93% and 14.81% respectively）,not isolated fungus;Age,presence of diabetes mellitus,drainage time,postoperative complications,operation time and open operation for independent risk factors for surgical site infection（P〈0.05）.Conclusion Liver and gallbladder surgery in patients with surgical site infection is associated with a variety of factors,should strengthen the preoperative patients with postoperative condition evaluation,improve the level of operation at the same time,thereby reducing surgical site infection.

关 键 词：感染 危险因素 肝胆外科 手术部位 监测 

分 类 号：R657.3[医药卫生—外科学]