某医院外科手术切口感染率的调查研究

Investigation of infection of the surgical incision in a hospital

【目的】了解某医院外科手术患者术后感染的情况,为控制手术切口感染的发生提供一定参考依据。【方法】采用回顾性病例资料调查分析。【结果】剖腹探查术和痔切除术的感染率最高,其次是清创伤缝合术和阑尾切除术。男性和女性的感染率相差不大。手术切口Ⅰ类和II类没有明显差异。全麻与非全麻手术的感染率也没有明显差异。手术时间≥2 h的感染率高于手术时间<2 h。【结论】手术时间长,手术切口大,可能是切口感染的主要原因。

【Objective】To discuss the condition of infection in surgical incision in a hospital so as to decrease the incidence.【Methods】A retrospective investigation was given to the case data with chi-test on statistical analysis.【Results】The highest infection rate was exploration of abdomen and resection of hemorrhoids,and the second was debridement and appendectomy.Of all possible infection factors,sex and incision type were not evident,but anaesthesia and time were understandable.【Conclusions】The surgical time and incision area are the main factors of incision infection.