开腹手术患者肺部感染的干预路径预防效果  

Preventive effect of intervention paths on lung infected patients with laparotomy

作　　者：单慧娟[1] 张晓黎[1] 王晓娜[2] 杨军[1] 焦纯杰[2] 刘佃温[3] 

机构地区：[1]河南中医学院第三附属医院手术室,河南郑州450003 [2]河南中医学院第三附属医院普外科,河南郑州450003 [3]河南中医学院第三附属医院肛肠科,河南郑州450003

出　　处：《中华医院感染学杂志》2015年第14期3274-3276,共3页Chinese Journal of Nosocomiology

基　　金：河南省杰出人才创新基金资助项目(0621002500)

摘　　要：目的探究对开腹手术患者肺部感染的干预路径预防效果,以预防肺部感染发生率。方法选取2009年6月-2014年12月于普外科与肛肠外科接受开腹式手术的1 000例患者,按照随机数表法划分为干预组500例和对照组500例,对干预组患者实施围术期感染干预路径,对照组则采取常规干预路径,对比两组患者的术后肺部感染、患者的术后感染防护知识掌握等,分析围术期感染干预路径对开腹手术患者肺部感染的预防效果。结果干预组患者预防感染知识掌握均优于对照组,差异有统计学意义(P<0.05);干预组患者的痰液黏稠度、咳嗽程度以及排痰难度等呼吸功能均显著高于对照组,差异有统计学意义(P<0.05);对照组术后肺部感染患者为38例,感染率为7.6%,干预组术后医院感染患者12例,感染率为2.4%,感染率有显著下降,差异有统计学意义(P<0.01)。结论围术期采用感染干预路径,有利于开腹手术患者更好的掌握预防感染的知识,对术后肺部感染起到了有效的预防作用。OBJECTIVE To explore the preventive effect of intervention paths on lung infected patients with laparotomy so as to prevent pulmonary infections.METHODS A total of 1000 cases were selected from Jun.2009 to Jun.2014 in our hospital who received laparotomy in general surgery department or anorectal surgical department.They were randomly divided into intervention group（500cases）and control group（500cases）in accordance with the random number table.The intervention group was treated with perioperative infection intervention paths,while the control group adopted the paths of conventional interventions.Protection knowledge level and mastery degree of pulmonary infections and postoperative infections of the patients in the two groups were compared to analyze the protective effect of interventional paths for perioperative infections.RESULTS The intervention group knew more about infection prevention than the control group and the difference was significant（P〈0.05）;sputum viscosity,severity of cough and difficulty of expectoration of the intervention group were all significantly higher than the control group（P〈0.05）.Totally 38 cases in the control group appeared postoperative lung infections and the infection rate was 7.6%.While only 12 cases in the intervention group proved to be infected and with a decreasing rate of 2.4%.The difference was significant（P〈0.01）.CONCLUSIONInterventive pathes used during perioperative period can help patients with laparotomy better master the infection prevention knowledge and hence have preventive functions for postoperative pulmonary infections.

关 键 词：围术期 肺部感染 干预路径 预防 

分 类 号：R563.1[医药卫生—呼吸系统]