外科手术患者术后切口感染的危险因素分析  

Analysis of risk factors of postoperative incision infection in surgical patients

作　　者：宋微微[1] SONG Weiwei(Department of Infection Control,Jiujiang First People's Hospital,Jiangxi Province,Jiujiang332000,China)

机构地区：[1]江西省九江市第一人民医院感控处,江西九江332000

出　　处：《中国当代医药》2024年第2期34-36,40,共4页China Modern Medicine

基　　金：江西省卫生健康委科技计划项目(202211768)。

摘　　要：目的分析外科手术患者术后切口感染的危险因素。方法回顾性分析2022年1月至2022年12月于九江市第一人民医院进行外科手术治疗的256例患者的临床资料,所有入选者均进行相应的手术治疗,根据术后切口感染发生情况分组,比较两组相关资料,分析外科发生切口感染的相关因素。结果256例患者中,有20例发生切口感染,术后切口感染发生率为7.81%(20/256)。单因素分析结果显示,感染组年龄>60岁、合并糖尿病、术前贫血、手术时间≥3 h、急诊手术、围手术期输血占比均高于未感染组,差异有统计学意义(P<0.05)。logistic回归分析结果显示,年龄>60岁(OR=6.316,95%CI=2.214~18.018,P=0.001)、合并糖尿病(OR=4.787,95%CI=1.877~12.209,P=0.001)、术前贫血(OR=4.756,95%CI=1.860~12.163,P=0.001)、手术时间≥3 h(OR=6.367,95%CI=2.458~16.491,P<0.001)、急诊手术(OR=6.574,95%CI=2.547~16.968,P<0.001)、围手术期输血(OR=5.441,95%CI=2.111~14.024,P<0.001)是外科手术患者术后切口感染的独立危险因素(P<0.05,OR>1)。结论手术为重要的治疗方法,但因本身具有创伤性,术后切口感染发生率较高,对于年龄>60岁、合并糖尿病、术前贫血、手术时间≥3 h、急诊手术、围手术期输血的患者,需重点管理,尽可能降低切口感染发生率。Objective To analyze the risk factors of postoperative incision infection in surgical patients.Methods The clinical data of 256 patients who received surgical treatment in Jiujiang First People's Hospital from January 2022 to December 2022 were retrospectively analyzed.All the selected patients received corresponding surgical treatment.They were grouped according to the incidence of postoperative incision infection.The relevant data of the two groups were compared,and the relevant factors of surgical incision infection were analyzed.Rsults Among the 256 patients,20 developed incision infection,and the incidence of postoperative incision infection was 7.81%(20/256).The results of univariate analysis showed that the proportion of age>60 years old,diabetes mellitus,preoperative anemia,operation time≥3 h,emergency operation and perioperative blood transfusion in the infected group were higher than those in the uninfected group,with statistical significance(P<0.05).Logistic regression analysis showed that age>60 years old(OR=6.316,95%CI=2.214-18.018,P=0.001),complicated diabetes mellitus(OR=4.787,95%CI=1.877-12.209,P=0.001),preoperative anemia(OR=4.756,95%CI=1.860-12.163,P=0.001),operation time≥3 hours(OR=6.367,95%CI=2.458-16.491,P<0.001),emergency operation(OR=6.574,95%CI=2.547-16.968,P<0.001)and perioperative blood transfusion(OR=5.441,95%CI=2.111-14.024,P<0.001)were independent risk factors for postoperative incision infection in surgical patients(P<0.05,OR>1).Conclusion Surgery is an important treatment method,but because of its own trauma,the incidence of postoperative incision infection is high.For patients aged>60 years,with diabetes,preoperative anemia,operation time≥3 h,emergency surgery,and perioperative blood transfusion,it is necessary to focus on management to reduce the incidence of incision infection as much as possible.

关 键 词：外科手术 术后切口感染 危险因素 围手术期输血 

分 类 号：R619.3[医药卫生—外科学]