结直肠手术SSI预防与控制的研究进展  

Progress of research on prevention and control of SSI in patients undergoing colorectal surgery

作　　者：胡潇云[1] 秦桂英[1] 邱隆敏[1] 龙盛双[1] 周远忠[2] 

机构地区：[1]遵义医学院附属医院医院感染管理科,贵州遵义563000 [2]遵义医学院公共卫生学院毒理学教研室,贵州遵义563000

出　　处：《中华医院感染学杂志》2017年第9期2156-2160,共5页Chinese Journal of Nosocomiology

摘　　要：外科手术是治疗结直肠癌的主要治疗手段,由于结直肠肠腔内细菌含量高且菌群复杂,结直肠手术后SSI发生率高;SSI是加重患者病情、导致患者死亡的主要原因之一;研究结直肠手术SSI的危险因素,及时采取控制措施能降低医院感染的发生率,改善患者预后;笔者综合评述国内外现有循证证据,对比手术部位感染控制的国际指南,从患者自身因素和医疗干预相关因素的角度分析结直肠术后发生SSI的危险因素,并通过阐述结直肠术后SSI预防措施的最新研究进展,提出该领域未来可进一步研究的方向,以期为临床提供参考。Surgical operation is one of the main means to treat colorectal cancer.Due to the high content of bacteria and the complexity of the flora in colorectal cavity,the incidence of SSI is higher after colorectal surgery.SSI is one of the main causes leading to aggravated condition and even death of patients.The investigation of risk factors for SSI and implementation of control measures may reduce the incidence of nosocomial infections and improve the prognosis of patients.The writers comprehensively review the evidence-based proofs both at home and abroad,compare the international guidelines for control of SSI,analyze the risk factors for SSI after the colorectal surgery from the perspectives of patients′self factors and medical interventions,elaborate the latest progress of study on prevention measures of SSI after the colorectal surgery,and indicate the directions for further study in this field so as to provide guidance for clinical treatment.

关 键 词：结直肠手术 手术部位感染 医院感染 危险因素 综述 

分 类 号：R656.9[医药卫生—外科学]