急诊外科创伤手术切口感染的临床分析及预防研究

Emergency Surgery Trauma Clinical Analysis and Intervention Operation Incision Infection Countermeasures

目的:探究急诊外科创伤手术切口感染的原因及预防对策。方法:急诊外科手术患者400例,随机分组,观察组及对照组各200例,前者送诊后即进行创伤检查、清洗及抗感染药物治疗,后者仅在送诊后常规清洗创口,两组患者在术后采取干预,观察其术后感染情况及干预后感染情况。结果:观察组术后感染4例,对照组术后感染45例,观察组术后感染明显低于对照组(P<0.05);两组患者干预后感染患者均治愈。经多因素COX回归分析发现,医务人员杀菌消毒意识、诊疗环境空气质量、器械消毒情况及患者创口消毒情况均为影响急诊外科创伤手术切口感染的独立危险因素且具有明显统计学意义(P<0.05),医务人员杀菌消毒意识越低、诊疗环境空气质量越差、器械消毒情况越差及患者创口消毒情况越差,则急诊外科创伤手术切口感染风险越高。结论:创口清理不彻底是引发急诊外科创伤手术切口感染的重要因素,而医务人员杀菌消毒意识越低、诊疗环境空气质量越差、器械消毒情况越差及患者创口消毒情况越差,则急诊外科创伤手术切口感染风险越高。

Objective：To Explore the trauma emergency surgery incision infection causes and preventive measures. Methods：400 cases of emergency surgery patients were randomized to the observation group and the control group of 200 cases, the former delivery of diagnosis for trauma after inspection, cleaning and anti-infective therapy, the lat er only in the delivery of diagnosis after routine cleaning the wound, the two groups patients after intervention, to observe the situation and the intervention of postoperative infection after infection. Results：The postoperative infection in 4 patients in the control group, 45 cases of postoperative infection, postoperative infection observation group was significantly lower than the control group （P〈0.05）;Two groups of patients were cured after the intervention of infected patients. Multivariate COX regression analysis found that medical staff awareness of disinfection, treatment ambient air quality, equipment disinfection and disinfection of patients are affected wound trauma emergency surgery incision independent risk factors for infection and have statistical y significant （P〈0.05 ）, awareness of medical personnel disinfection lower the ambient air quality worse clinics, equipment disinfection disinfection worse and worse in patients with wound, then emergency surgical trauma surgical wound infection risk is higher. Conclusion：wound cleaning is not thorough emergency surgical trauma caused by surgical incision infection an important factor, but the medical staff awareness sterilization lower the ambient air quality worse treatment, disinfection equipment situation worse and worse in patients with wound disinfection, then emergency surgery trauma surgical wound infection risk is higher.