普外科手术后感染的危险因素及预防措施

Risk factors and prevention measures of postoperative infection of general surgery operation

目的总结和分析普外科手术后发生感染的危险因素和相应的预防措施,为临床提供参考。方法回顾性分析456例手术患者病例资料,总结分析发生感染的患者存在的危险因素和采取的处理方法 ,并提出预防措施。结果 456例患者中63例发生切口感染,发生率为13.8%。通过对比发现患者的年龄、体重、手术时间和手术时机、切口类型、手术室和病房环境、营养不良、糖尿病等都是与感染相关的因素,结合患者具体情况配合抗生素治疗可以预防和控制感染。结论对于普外科患者,应该结合患者具体情况,选择合适时机尽快进行手术,做好手术过程中无菌操作和术后护理工作,并结合抗生素使用防治感染,促进患者尽快恢复。

Objective To summarize and analyze the risk factors and related prevention measures of postoperative infection of general surgery operation, so as to provide references for clinic. Methods The clinical data of 456 patients, who underwent operation, were retrospectively analyzed. The risk factors and treatment methods for those who had infection were summarized and analyzed, and prevention measures were made. Results Among the 456 cases, there were 63 cases with incision infection, which accounted for 13.8%. The results of comparison showed that there were many related factors with infection, such as age, weight, operation time, operation opportunity, incision type, environment of operating room and ward, malnutrition, and diabetes mellitus. The treatment by antibiotics, combined with patients＇ specific condition, could prevent and control their infection. Conclusion For the patients in the department of general surgery, surgery should be taken timely according to their specific condition. Good intraoperative aseptic technique, postoperative nursing, and application of antibiotics can promote their quick rehabilitation.