门诊手术室切口感染相关因素分析及预防与护理

Evaluation of risk factors with surgical incision infection of outpatient operating room and prevention and nursing

目的分析门诊手术室切口感染的危险因素,并采取相应护理干预措施。方法回顾性分析我院门诊手术室549例患者临床资料,分析感染危险因素,进一步探讨预防措施及护理。结果切口感染率5.10%,细菌培养显示:致病菌以革兰阳性菌(G+)为主,占57.14%;革兰阳性菌(G-)占32.14%;真菌占10.71%;单因素及多因素Logistic回归分析表明:手术部位、手术时间>1h、有参观人员、接台手术、术前未预防性应用抗生素是门诊手术切口感染的独立危险因素(P<0.05)。结论门诊手术室切口感染与多种危险因素有关,手术部位较深、手术时间>1h、有参观人员、接台手术、术前未预防性使用抗生素是门诊手术室切口感染的独立危险因素。

Objective To investigate the risk factors-related for surgical incision infection of outpatient operating room and take preventive measures. Methods Clinical and follow-up data of 549 patients were reviewed retrospectively.The association of related infection factors and incision infection was analyzed,and preventive measures were discussed. Results The infection rate was 5.10%,the sample training showed that pathogenic bacteria was mainly gram-positive bacteria（G＋）（57.14%）,while gram-negative（G-）was 32.14%and fungus was 10.71%;The results of univariate analy-sis and multiple logistic regression analysis showed that operation time,visiting,station operation,operation site,and prophylactic use of antibiotics before operation were the independent factors correlated with incision infection（P〈0.05）. Conclusion The incision infection of outpatient operating room occurs with many risk factors,among of which deep op-eration site,long operation time（more than one hour）,operation visitor,staion operation,and no use of antibiotics before operation are the most important risk factors. It is important to take take preventive measures to reduce the incisional infection rate.