普外科手术切口感染分析

Analysis of Postoperative Infections after the General Surgery

目的:探讨普外科手术切口感染危险因素,为预防和控制感染,提高医疗质量提供依据。方法:对我院普外科1225例手术治疗患者的临床资料进行回顾分析,统计其中切口感染的比率,并对感染的危险因素进行分析,统计分析患者的性别、年龄、是否合并基础性疾病,手术类型、手术时间和切口类型、麻醉方法以及住院时间和抗生素使用情况等与感染的关系。结果:1225例患者中发生切口感染78例,感染率为6.36%,患者的年龄、是否合并基础疾病、手术时间、手术类型、手术方式、切口类型、住院时间和抗生素应用情况均与术后切口感染率关系密切(P<0.05)。性别和麻醉方法与术后切口感染未见相关性(P>0.05)。结论:根据切口感染因素,结合患者自身特点制定合理的手术计划,有利于降低感染风险,提高医疗质量。

Objective： To explore the risk factors for the infections after the general surgery in order to provide the accordance for preventing and controlling infections and improving clinical quality. Methods： Clinical data of 1225 patients treated by operation in de- partment of general surgery of our hospital were retrospectively analyzed and the infected rate was calculated. The risk factors for infec- tions were analyzed including the gender, age, having basis disease or not, operation type and duration, type of cut, anesthesia type, length of stay and antibiotics application. Results： The infections occurred in 78 cases of 1225 patients after the surgery, and the infection rate was 6.36%. The age, basis diseases, operation duration, type and way of surgery, type of cut, hospital stay and antibiotic use were closely related to the incidence of postoperative infections （P〈0.05）, while gender and anesthesia type had no correlation with postoperative in- fections （P〉0.05）. Conclusion： the reasonable surgical plan should be developed according to the risk factors of postoperative infection patients＇ characteristics on their own so as to minimize the risk of the infections and improve quality of medical treatment.