术前访视及术中切口保护对手术患者切口感染的预防效果研究  

Effect of preoperative visit and intraoperative incision protection in preventing incision infections in surgical patients

作　　者：应秀环 孙艳斌[1,3] 孙铭霞[1,2] 张红娟[1,4] 杨宝英[1,2] 

机构地区：[1]承德市中心医院 [2]承德医学院第二临床学院手术室,河北承德067000 [3]承德医学院第二临床学院麻醉科,河北承德067000 [4]承德医学院第二临床学院普外科,河北承德067000

出　　处：《中华医院感染学杂志》2015年第14期3257-3259,共3页Chinese Journal of Nosocomiology

基　　金：河北省卫生厅医学科学研究基金资助项目(zd20140393);承德市科学技术研究与发展计划基金资助项目(2011210031)

摘　　要：目的探究术前访视及术中切口保护对手术患者切口感染的预防效果。方法选取2013年10月-2014年9月于普外科及肿瘤外科住院择期手术的500例患者按照随机数表法划分为优质干预组250例和常规对照组250例,对优质干预组患者进行术前访视及术中切口保护等干预方案,对常规对照组则采取常规干预手段,通过分析对比两组患者的术后切口感染状况,医护人员的干预及手术操作技能水平等因素,探究术前访视及术中切口保护对接受开腹式手术的患者发生切口感染的影响。结果常规对照组医护人员对感染防护相关理论知识及术中操作技能掌握的合格率分别为74.0%、70.8%,显著低于优质干预组98.0%和92.8%,差异有统计学意义(P<0.01);优质干预组患者的切口感染率8.4%低于常规对照组27.6%(P<0.05),两组患者的切口感染率差异有统计学意义(P<0.01)。结论术前访视及术中切口保护有利于降低患者的术后切口感染率。OBJECTIVE To explore effect of the preoperative visit and intraoperative incision protection in preven- ting incision infections in surgical patients. METHODS Totally 500 cases were selected from Oct. 2014 to Sep. 2015 in general surgery department and surgical ontology department and they were divided into high-quality care group with 250 cases and conventional control group with 250 cases in accordance with random number table. The high-quality care group was treated with preoperative visit and intraoperative incision protection and the conven- tional control group adopted conventional interventions. The infection condition, interventions and the operation skills and other factors by medical staffs were compared in the two groups to investigate the effect of preoperative visit and intraoperative incision protection in preventing incision infections in surgical patients. RESULTS The qual- ified rate of the health care workers＂ mastering the infection prevention-related knowledge was 74.0% in the con- trol group, significantly lower than 98. 0% of the high-quality care group the positive rate of the health care workers＂ mastering the intraoperative operations was 70. 8% in the control group, significantly lower than 92.8% of the high-quality care group, and the difference was statistically significant （P〈0.01）. The ineidence of incision infections of the high-quality care group was 8.4%, significantly lower than 27.6% of the control group （P〈 0.05）, and there was statistically significant difference in the incidence of incision infections between the two groups （P〈0.01）. CONCLUSION Preoperative visit and intraoperative incision protection helps to reduce the pa- tient＇s postoperative wound infections.

关 键 词：开腹手术 切口感染 预防 

分 类 号：R619.3[医药卫生—外科学]