日间手术手术部位感染防控体系的构建及应用探索  

A Preliminary Exploration on the Construction of SSI Prevention and Control System for Ambulatory Surgery

作　　者：陈德键 缪传文[1] 顾春红 傅晟静[1] Chen Dejian;Miao Chuanwen;Gu Chunhong(Shanghai General Hospital,Shanghai,201600,China;不详)

机构地区：[1]上海市第一人民医院,上海201600

出　　处：《中国医院管理》2023年第1期45-48,共4页Chinese Hospital Management

摘　　要：目的 评估日间手术手术部位感染(Surgical Site Infection,SSI)防控体系的应用效果,探讨构建日间手术SSI防控体系的方法和价值。方法 基于《中国手术部位感染预防指南》并结合日间手术的特点,构建了涵盖院前、院中、院后全流程的日间手术SSI防控体系。选择性分析2019年3月—2022年2月在上海市第一人民医院行日间手术的1 103例腹股沟疝患者,以2021年3月应用日间手术SSI防控体系的时间点为界分成两组,应用前为对照组(705例),应用后为观察组(398例),采集两组患者临床资料进行对比统计学分析。结果 观察组的SSI发生率小于对照组,观察组的患者满意度大于对照组,差异有统计学意义(P<0.05)。其他一般临床资料、围手术期指标、术后并发症总发生率,两组患者比较差异无统计学意义(P>0.05)。结论 日间手术SSI防控体系的应用可以降低SSI发生率,提升日间医疗服务质量。Objective Evaluate the application effect of the SSI prevention and control system of ambulatory surgery,and discuss the method and value of building the SSI prevention and control system of ambulatory surgery.Methods Based on “Chinese guideline for the prevention of surgical siteinfection” and combined with the actual situation of ambulatory surgery,an SSI prevention and control system for ambulatory surgery covering the whole process of pre—hospital, in—hospital and post—hospital surgery is constructed. Retrospective analysis of 1 103 patients with inguinal hernia who underwent ambulatory surgery at Shanghai General Hospital in a total of three years from March 2019 to February 2022 was divided into two groups,with the control group(705 cases) before application and the observation group(398 cases) after application,and the clinical data of two groups of patients were collected for comparative analysis. Results The incidence of SSI in the observation group was smaller than that in the control group,and the patient satisfaction in the observation group was greater than that in the control group,and the difference was statistically significant(P<0.05). There was no statistically significant difference between other general clinical data,perioperative indicators,and the total incidence of postoperative complications between the two groups(P>0.05). Conclusion The construction of an SSI prevention and control system for ambulatory surgery can reduce the incidence of SSI and improve the quality of ambulatory medical services.

关 键 词：日间手术 手术部位感染 防控体系 

分 类 号：R197.323.2[医药卫生—卫生事业管理]