肝胆外科患者手术切口感染相关因素分析

Related factors of patients with hepatobiliary surgical incision infection

目的分析肝胆外科患者切口感染的相关因素,并在该基础上提出积极解决策略,以最大程度降低肝胆外科患者切口感染发生率。方法选取2012年3月-2015年3月在医院接受手术治疗的126例肝胆外科患者为研究对象,分析手术患者术后发生切口感染相关因素,数据采用SPSS 18.0软件进行统计分析。结果 126例接受手术治疗的肝胆外科患者中,11例术后发生切口感染,感染率为8.73%;共检出23株病原菌,以革兰阴性菌为主,12株占52.17%;多因素logistic回归分析结果显示,手术时间、切口分类、手术过程失血量、抗菌药物的使用以及引流管的留置是肝胆外科患者手术后发生切口感染的独立危险因素(P<0.05)。结论肝胆外科患者手术切口感染与诸多因素有关,医疗工作者应关注患者及手术操作两方面影响,降低切口感染的发生、提高治疗效果。

OBJECTIVE To analyze the related factors in patients with hepatobiliary surgery incision infection,and put forward positive solution strategies to minimize the hepatobiliary surgery patients the incidence of incision infection.METHODS A total of 126 cases of hepatobiliary surgery patients undergoing surgery in the hospital were selected as the research subjects from Mar.2012 to Mar.2015.Related factors of incision infection after operation were analyzed.The results were statistically analyzed by software SPSS18.0.RESULTS Among the 126 cases of hepatobiliary surgery surgical patients,11 patients were inflicted with postoperative incision infection with an infection rate of 8.73%,and 23 pathogens,were detected with main gram-negative bacteria accounting for 52.17%.Multivariate logistic regression analysis showed that surgery time,types of incision,intraoperative blood loss,use of antibiotics and drainage tube indwelling situation were the independent risk factors for patients with hepatobiliary surgical incision infection（P〈0.05）.CONCLUSIONThere are many factors related to incision infection after hepatobiliary surgery.Health care workers should be concerned about the impact of both patients and the surgical procedures in order to reduce the incidence of incision infection and to improve the therapeutic effect.