复合保温对降低老年患者手术部位感染的效果分析  

Effect of composite temperature-keeping measures for reducing surgical site infections in elderly patients

作　　者：周学颖[1] 赵峰[1] 王萃[2] 周乐[3] 

机构地区：[1]吉林大学中日联谊医院手术室,吉林长春130033 [2]吉林大学中日联谊医院信息中心,吉林长春130033 [3]吉林大学中日联谊医院甲状腺外科,吉林长春130033

出　　处：《中华医院感染学杂志》2016年第5期1113-1115,共3页Chinese Journal of Nosocomiology

基　　金：吉林省科技厅基金资助项目(20130206062SF)

摘　　要：目的探讨老年腹部手术患者术中低体温与手术部位感染(SSI)的相关性,分析术中低体温发生的原因,研究复合保温措施对降低老年腹部手术患者术中低体温发生率、降低SSI发生率的干预效果,为临床应用提供依据。方法选取医院2014年5-10月择期行腹部外科手术的老年患者240例为研究对象,采用随机分组,将研究对象分为观察组和对照组,每组120例,对照组患者术中采用常规保温措施,观察组患者术中采用复合保温措施;记录两组患者麻醉前、麻醉后30、60、120、180min、手术结束时的体温,观察并记录两组患者SSI发生率;应用SPSS 19.0统计软件对所收集的数据进行整理分析。结果对照组患者在麻醉后60、120、180min、手术结束时体温均低于观察组患者,两组比较差异有统计学意义(P<0.05);对照组患者SSI感染率18.33%、手术结束时低体温发生率100.00%,观察组患者SSI感染率5.83%、手术结束时低体温发生率为0,两组比较差异有统计学意义(P<0.05)。结论老年腹部手术患者SSI的发生与术中低体温具有相关性,复合保温措施可有效降低术中低体温的发生率,进而降低患者SSI发生率,具有临床应用价值。OBJECTIVE To explore the correlation between hypothermia and surgical site infections（SSI）during abdominal surgery for elderly patients,analyze the causes of intraoperative hypothermia,and investigate the interventional effect of composite temperature-keeping measures on reducing the incidences of hypothermia and SSI in abdominal surgery for elderly patients,so as to provide evidence for their clinical application.METHODS Totally240 elderly patients who underwent elective abdominal surgery in the hospital during May to Oct.,2014 were selected as subjects,and were randomized into observation group and control group,120 patients in each group.Patients in the control group received routine temperature-keeping measures,and patients in the observation group received composite temperature-keeping measures during surgery.The body temperatures pre-anesthesia,at 30,60,120 min and 180 min post-anesthesia and at the end of surgery were recorded for patients in both groups to observe and record the incidences of SSI in both groups.The data collected were summarized and analyzed.RESULTS For patients in the control group,the body temperatures at 60 min,120min and 180 min post-anesthesia and at the end of surgery were lower than those in the observation group,indicating significant differences between the two groups（P〈0.05）.For patients in the control group,the incidence of SSI was 18.3%,and the incidence of hypothermia at the end of surgery was 100%,as compared to the 5.83%incidence of SSI and 0%incidence of hypothermia at the end of surgery in the observation group,indicating significant differences between the two groups（P〈0.05）.CONCLUSIONThere is association between the development of SSI and intraoperative hypothermia in elderly patients undergoing abdominal surgery.The composite temperature-keeping measures effectively reduce the incidence of intraoperative hypothermia and hence the incidence of SSI in the patients,suggesting their value in clinical application.

关 键 词：术中低体温 老年患者 手术部位感染 

分 类 号：R614.25[医药卫生—麻醉学]