手术室管理对手术切口感染的影响与控制

Influence of management of operating rooms on control of surgical incision infections

目的对手术切口感染的因素进行分析,以降低手术切口感染率,提高医疗安全。方法选取医院2011年4月-2013年4月实施手术患者共4 632例,对患者的临床资料进行回顾性分析,总结感染的相关因素。结果4 632例手术患者发生切口感染146例,感染率为3.15%;手术室切口感染与参观人数、手术间类型、空气细菌含量、手术刀使用时间及术前住院天数有关(P<0.05)。结论为了有效降低手术室切口感染的发生,应减少手术室感染的相关危险因素,加强对手术室的管理。

OBJECTIVE To analyze the risk factors for surgical incision infections so as to reduce the incidence of the surgical incision infections and improve the medical safety.METHODS A total of 4 632 patients who under-went surgeries from Apr 2011 to Apr 2013 were enrolled in the study,the clinical data of the patients were retro-spectively analyzed,and the related factors for the infections were observed.RESULTS The incision infections oc-curred in 146 of 4 632 patients undergoing the surgeries,with the infection rate of 3.15%.The incidence of the in-cision infections in operating rooms was associated with the number of visiting people,types of operating rooms, contents of bacteria in air, time of use of scalpel, and preoperative hospitalization duration （P〈 0.05 ）. CONCLUSION It is an effective way to reduce the related risk factors for infections in the operating rooms and strengthen the management of the operating rooms so as to reduce the incidence of the incision infections in the op-erating rooms.