腹部手术患者切口感染相关因素与护理研究  

Related factors and clinical nursing of incision infections in patients with abdominal surgery

作　　者：梁颖 陆颖 郭泽霞[1] 朱海芬 黄桂珍 LIANG Ying;LU Ying;GUO Ze-xia;ZHU Hai-fen;HUANG Gui-zhen(Hainan Provincial Third People＇s Hospital, Sanya, Hainan 572000, Chin)

机构地区：[1]海南省第三人民医院普通外科,海南三亚572000

出　　处：《中华医院感染学杂志》2018年第3期466-469,共4页Chinese Journal of Nosocomiology

摘　　要：目的分析腹部手术患者切口感染相关因素与临床护理。方法选取医院2014年1月-2017年2月收治的腹部手术患者90例,根据切口感染情况分为切口感染组45例,切口未感染组45例,通过对两组患者的手术情况、相关临床资料进行回顾性分析,总结腹部手术患者切口感染的相关因素,并根据相关因素提出相应的临床护理对策。结果切口感染组患者年龄、体重指数(BMI)、手术时间分别为(55.10±16.07)岁、(23.63±2.45)kg/m2、(135.12±35.78)min均高于切口未感染组(47.80±15.57)岁、(19.51±2.21)kg/m2、(92.32±26.26)min,切口感染组患者血红蛋白(Hb)为(106.25±25.36)g/L低于切口未感染组(145.76±34.03)g/L(P均<0.05);年龄、BMI、Hb、基础疾病、抗菌药物使用情况、腹部手术史、手术时间、接台手术、非层流室、参观人员和急诊手术均是腹部手术患者切口感染的相关因素(P<0.05)。结论针对感染相关因素给予相应的临床护理对策,可降低术后切口感染率。OBJECTIVE To analyze the related factors and clinical nursing of incisional infections in patients with abdominal operation.METHODS A total of 90 patients with abdominal surgery in hospital from Jan. 2014 to Feb. 2017 were selected, and were divided into 45 cases of incision infection group, and 45 cases of no incision infection group. The operation and related clinical data of the two groups were retrospectively analyzed, the related factors of wound infections in patients with abdominal operation were summarized, and the countermeasures of clinical nursing according to the related factors were puts forward.RESULTS The age, BMI and operation time of incision infection group were （55.10±16.07）, （23.63±2.45） kg/m2 and （135.12±35.78） min, which were higher than （47.80±15.57）, （19.51±2.21） kg/m2 and （92.32±26.26） min of no incision infection group, the hemoglobin （Hb） of incision infection group was （106.25±25.36） g/L, which was lower than （145.76±34.03） g/L of no in- cision infection group（P〈0.05）. The age, BMI, Hb, underlying diseases, usage of antibiotics, abdominal opera- tion history, operation time, console operation, non laminar flow chamber, visitors and emergency operation were the related factors of incision infection in patients with abdominal surgery （P〈0.05）.CONCLUSION The corre- sponding clinical nursing countermeasures according to the above infection-related factors can significantly reduce the incidence of postoperative wound infections.

关 键 词：腹部手术 切口感染 相关因素 临床护理 

分 类 号：R619.3[医药卫生—外科学]