普外科手术部位感染的Logistic回归分析

Logistic regression analysis of operation site infection in general surgical

目的:探讨普外科手术部位感染的影响因素及护理对策。方法:回顾性分析在我院住院治疗的普外科患者的临床资料。根据患者手术后是否发生手术部位感染分为感染组和未感染组。采用单因素和多因素分析相结合的方法探讨导致患者发生手术部位感染的危险因素。结果:普外科患者的手术部位感染率为10.98%;年龄≥60岁、手术时间长、女性、体质指数≥24、合并糖尿病、急诊手术、侵入性操作、术后放置引流管、手术切口长度≥10 cm以及Ⅱ,Ⅲ类手术切口是患者术后发生手术部位感染的危险因素,术前预防性应用抗菌药物是减少患者术后发生手术部位感染的保护因素。结论:应加强胃肠道准备,密切手术配合等各项护理措施以预防手术部位感染。

Objective：To investigate the influence factors and nursing countermeasures of surgical operation site infection in general surgical. Methods：The clinical data of general surgical patients who in our hospital for treatment were retrospective analysised. The patients after operation were divided into infec- tion group and uninfected group according to operation site infection. The risk factors of operation site infection of patients were evaluated by unlvariate and multivariate analysis methods. Results：The operation site infection rate of general surgical patients was 10.98%. More than 60 years old, long operation time, female, body mass index ~≥〉 24, diabetes mellitus, diabetes mellitus, emergency operation, invasive operation, postoperative drainage, operation incision length ≥10 cm andII ,III operation incision were risk factors of infection patients which occurred after operation. Preoperative prophylactic application of antibiotic drugs were protective factor of operation site infection in patients postoperative. Conchision：h should be enhance gastrointestinal preparation, close operation with the nursing measures to prevent operation site infection.