手术室综合干预策略对手术部位感染控制的效果  

Effect of comprehensive intervention strategies on the control of surgical site infection in the operating room

作　　者：张超 李彬 翟小松 田男男 王宁[2] ZHANG Chao;LI Bin;ZHAI Xiao-song;TIAN Nan-nan;WANG Ning(Baoding First Central Hospital,Baoding,Hebei 071000,China;不详)

机构地区：[1]保定市第一中心医院手术室,河北保定071000 [2]保定市第一中心医院西院手术室,河北保定071000

出　　处：《中华医院感染学杂志》2023年第24期3802-3805,共4页Chinese Journal of Nosocomiology

基　　金：保定市科技计划基金资助项目(20220289)。

摘　　要：目的 研究手术室综合干预策略在手术部位感染(SSI)控制中的临床疗效。方法 采用随机数字表法将保定市第一中心医院手术室于2019年11月-2021年11月收治的行手术治疗的138例患者随机分为常规组与综合组,每组各69例。其中,常规组患者仅接受手术室常规干预措施,而综合组则实施综合干预策略,评价不同干预策略下的切口愈合、SSI发生率、患者满意度、手术室环境指标监测合格率以及手术、愈合、住院时间情况。结果 综合组切口甲级愈合率(91.30%)对比常规组(73.91%)更高,丙级愈合率(2.90%)及SSI发生率(4.35%)对比常规组(13.04%、15.94%)更低(P<0.05);综合组干预满意度(94.20%)对比常规组(78.26%)更高(P<0.05);综合组手术环境指标合格率均高于常规组(P<0.05);综合组手术时间、愈合时间及住院时间均短于常规组(P<0.05)。结论 在对SSI进行控制过程中,于手术室常规干预中实施综合干预策略具有更显著的干预效果。OBJECTIVE To study the clinical efficacy of comprehensive intervention strategies on surgical site infection(SSI) control in the operating room. METHODS A total of 138 patients under surgical treatment in the operating room of Baoding First Central Hospital from Nov 2019 to Nov 2021 were randomly divided into the routine group and comprehensive group, with 69 cases in each group. Among them, patients in the conventional group only received routine intervention measures in the operating room, and patients in the comprehensive group received comprehensive intervention strategies. Incision healing, SSI incidence, patient satisfaction, qualified rate of operating room environmental indicators, operation, healing, and hospital stay under different intervention strategies were compared. RESULTS The grade A healing rate(91.30%) in the comprehensive group was higher than that in the conventional group(73.91%), while the grade C healing rate(2.90%) and SSI incidence(4.35%) were lower than those in the conventional group(13.04% and 15.94%)(P<0.05). Intervention satisfaction of the comprehensive group(94.20%) was higher than that of the conventional group(78.26%)(P<0.05). The qualified rate of surgical environment indexes in the comprehensive group was higher than that in the conventional group(P<0.05). The operation time, healing time and hospitalization time in the comprehensive group were shorter than those in the conventional group(P<0.05). CONCLUSION In the process of SSI control, the implementation of comprehensive intervention strategy in the operating room routine intervention has more significant effect.

关 键 词：综合干预策略 手术室 手术部位感染 感染控制 

分 类 号：R613[医药卫生—外科学]