普通外科手术切口感染的影响因素与防治

Impact factors and prevention of general surgical site infections

目的探讨普通外科手术后切口感染的影响因素及防治措施。方法回顾性分析2009年1月-2012年12月医院普通外科手术患者切口感染的影响因素及治疗与预防措施。结果 2915例普通手术患者术后发生切口感染203例,感染率6.96%,其中高龄、急症手术、Ⅱ、Ⅲ类手术切口、合并基础疾病患者更易发生切口感染。结论年龄、手术种类、切口类型、合并基础疾病是普通外科手术切口感染的影响因素,临床工作中需针对性采取防范措施减少切口感染发生。

OBJECTIVE To approach the influencing factos and prevention measures for postoperative infections after the general surgery. METHODS The influencing factors and the preventipn and treatment measures for the general surgical site infections were retrospectively analyzed from Jan 2009 to Dec 2012. RESULTS Of 2915 patients undergoing general surgery, the incision infections occurred in 203 cases with the infection rate of 6.96 %. The patients with the advanced age, emergency operation, type Ⅱ incision, type Ⅲ incision, and the underlying diseases were more prone to the incision infections. CONCLUSION The age, surgery type, incision type, and the combination of underlying disease are the impact factors for the incision infections after the general surgery, the hospital should take the targeted prevention measures to reduce the incidence of the incision infections.