胃肠肿瘤患者手术部位感染的预防研究  

Prevention of surgical site infections in gastrointestinal cancer patients

作　　者：韩保卫[1] 李朝辉[1] 李文献[1] 韩鸿彬[1] 董帅军[1] 刘帅锋[1] 许震[1] 王志伟[2] 

机构地区：[1]郑州大学附属洛阳中心医院胃肠胰腺外科,河南洛阳471000 [2]南通大学附属医院肝胆外科,江苏南通226001

出　　处：《中华医院感染学杂志》2015年第5期1111-1113,共3页Chinese Journal of Nosocomiology

基　　金：河南省科技厅基金资助项目(132300410105);江苏省卫生厅基金资助项目(K201101)

摘　　要：目的探讨影响胃肠肿瘤手术部位医院感染的相关因素,制定干预措施,以降低手术部位感染率。方法选取2010年5月-2012年5月734例胃肠肿瘤手术患者(干预前组),回顾性分析其临床资料,调查发生医院感染的例数,探讨影响医院感染的相关因素,制定对应的护理对策,并对2012年6月-2013年12月512例胃肠肿瘤手术患者(干预组)实施针对性干预,对比感染情况。结果影响医院感染发生的危险因素有高龄、手术时间长、住院时间长、抗菌药物使用不合理、侵入性诊疗;干预前组734例患者中有79例患者发生医院感染,医院感染率10.76%,干预组512例患者有32例发生感染,感染率6.25%,明显低于干预前组,对比差异有统计学意义。结论胃肠肿瘤发生手术部位感染相关因素较多,加强对医院感染的干预可以提升手术安全性,有利于治疗。OBJECTIVE To explore the related factors for surgical site infections in the gastrointestinal cancer pa‐tients and put forward the intervention measures so as to reduce the incidence of surgical site infections .METHODS A total of 734 gastrointestinal cancer patients who underwent surgeries from May 2010 to May 2012 were recruited as the study objects （the pre‐intervention group） ,the clinical data were retrospectively analyzed ,the number of cases of nosocomial infections was investigated , the related risk factors for the nosocomial infections were ex‐plored ,and the corresponding nursing countermeasures were put forward ;totally 512 gastrointestinal cancer pa‐tients who underwent surgeries from Jun 2012 to Dec 2013 were assigned as the intervention group ,and the targe‐ted interventions were implemented ;the incidence of infections was observed and compared .RESULTS The risk factors for the nosocomial infections included the advanced age ,long operation duration ,long length of hospital stay ,unreasonable use of antibiotics ,and invasive diagnosis and treatment .The nosocomial infections occurred in 79 of 734 patients in the pre‐intervention group ,with the infection rate of 10 .76% ;the infections occurred in 32 of 512 patients in the intervention group ,with the infection rate of 6 .25% ;the infection rate was significantly lower in the intervention group than in the pre‐intervention group .CONCLUSION There are a variety of risk factors for the surgical site infections in the gastrointestinal cancer patients .The multidimensional interventions to the noso‐comial infections may enhance the surgical safety and benefit the treatment .

关 键 词：胃肠肿瘤 手术部位 医院感染 干预 

分 类 号：R619.3[医药卫生—外科学]